KRISTI LYNN WILDER (NPI# 1790009884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790009884 |
| Entity Type | Individual |
| Full Name | KRISTI LYNN WILDER |
| Credential | M.A., LMFT |
| Practice Address |
1500 Mcandrews Rd W Ste 201 Burnsville MN 55337-4432 |
| Mailing Address |
8669 Eagle Point Blvd Lake Elmo MN 55042-8628 |
| Practice Telephone | 9528928495 |
| Practice Fax Number | 6513790448 |
| Mailing Telephone | 6513790444 |
| Mailing Fax Number | 6513790448 |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2011-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 2015 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1790009884 | 05 |
| Street Address |
1500 MCANDREWS RD W STE 201 |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-4432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669464905 | John Mark Prichard | Psychologist | 1500 Mcandrews Rd W, Suite 209, Burnsville, MN 55337-4432 | 2005-08-22 |
| 1457718041 | Brian Zirngible, LLC | Community/Behavioral Health | 1500 Mcandrews Rd W, Burnsville, MN 55337-4432 | 2016-01-27 |
| 1235533738 | Claire Kaehr | Marriage & Family Therapist | 1500 Mcandrews Rd W, Suite 231, Burnsville, MN 55337-4432 | 2014-10-14 |
| 1104225499 | Pennie Elizabeth Bucilla | Nurse Practitioner | 1500 Mcandrews Rd W, Burnsville, MN 55337 | 2014-08-22 |
| 1750794350 | Many Sparrows LLC | Marriage & Family Therapist | 1500 Mcandrews Rd W, Burnsville, MN 55337-4432 | 2014-06-11 |
| 1023449022 | Tkmn, LLC | Home Health | 1500 Mcandrews Rd W, Suite 218, Burnsville, MN 55337-4432 | 2013-12-02 |
| 1265864318 | Julie Ann Temmel-friesen | Marriage & Family Therapist | 1500 Mcandrews Rd W, Suite 201, Burnsville, MN 55337-4432 | 2013-07-31 |
| 1386954386 | Kelly Dial | Marriage & Family Therapist | 1500 Mcandrews Rd W, Suite 215, Burnsville, MN 55337-4432 | 2010-10-12 |
| 1982841748 | Full Circle Therapy | Counselor | 1500 Mcandrews Rd W, Suite 230, Burnsville, MN 55337-4432 | 2009-01-15 |
| 1447434279 | Debbie Carol Janiga Scheide | Marriage & Family Therapist | 1500 Mcandrews Rd W, Suite 229, Burnsville, MN 55337-4432 | 2007-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760945539 | Sapphire Counseling & Therapeutic Services Pllc | Marriage & Family Therapist | 760 Southcross Dr W Ste 103, Burnsville, MN 55306-7916 | 2019-04-09 |
| 1750867537 | Lindsey Fritz | Marriage & Family Therapist | 190 S River Ridge Cir # 208, Burnsville, MN 55337-1627 | 2018-07-16 |
| 1619472461 | Hope Tree Therapy and Wellness, Pllc | Marriage & Family Therapist | 1713 Southcross Dr W, Burnsville, MN 55306-7012 | 2018-03-26 |
| 1417465253 | Lynda M Koehler | Marriage & Family Therapist | 3000 County Road 42 W Ste 313, Burnsville, MN 55337-4824 | 2018-01-15 |
| 1164898169 | Stages Counseling & Consultation Services | Marriage & Family Therapist | 1500 Mcandrews Rd W Ste 212, Burnsville, MN 55337-4445 | 2015-08-13 |
| 1861871709 | Doorway Counseling | Marriage & Family Therapist | 14041 Burnhaven Dr Ste 145, Burnsville, MN 55337-4408 | 2015-05-26 |
| 1174914550 | Julie R. Anderson | Marriage & Family Therapist | 14051 Burnhaven Dr Ste 105, Burnsville, MN 55337-4400 | 2015-02-06 |
| 1396161154 | Matthew Nelson | Marriage & Family Therapist | 2100 County Road 42 W, Burnsville, MN 55337-6913 | 2014-03-17 |
| 1568733061 | Foundations Family Therapy, LLC | Marriage & Family Therapist | 14041 Burnhaven Dr Ste 112, Burnsville, MN 55337-4450 | 2012-01-16 |
| 1285942797 | Bradley Bychinski | Marriage & Family Therapist | 1664 Cliff Rd E, Burnsville, MN 55337-1300 | 2010-09-17 |
| Find all providers in BURNSVILLE | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.