EQUILIBRIYA, LLC (NPI# 1801376587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801376587 |
Entity Type | Organization |
Organization Name | EQUILIBRIYA, LLC |
Practice Address |
105 New England Pl Ste 150 Stillwater MN 55082-2036 |
Practice Telephone | 6513422175 |
Mailing Telephone | 6513422175 |
Enumeration Date | 2018-08-21 |
Last Update Date | 2018-08-21 |
Authorized Official Name | WENDY LEE MCMAHON (CO-OWNER) |
Authorized Official Telephone | 6513422175 |
Authorized Official Credential | LMFT, LADC, CST |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | 3313 | MN | Behavioral Health & Social Service Providers |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
303560 | MN | Behavioral Health & Social Service Providers |
N | 106H00000X | Marriage & Family Therapist | 3313 | MN | Behavioral Health & Social Service Providers |
Y | 101Y00000X | Counselor | 81 | MN | Behavioral Health & Social Service Providers |
Street Address |
105 NEW ENGLAND PL STE 150 |
City | STILLWATER |
State | MN |
Zip Code | 55082-2036 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
1982238085 | Jerald Haley | Technician | 924 6th Ave. S., Stillwater, MN 55082 | 2020-02-27 |
1801457387 | Sun Trad Chin Acu Mn LLC | Acupuncturist | Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 | 2019-06-25 |
1598243990 | Carlson Distinctive Dentistry, Pllc | Dentist | 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 | 2018-07-30 |
1073001624 | Lindsay Beth Briggs | Chiropractor | 200 Chestnut St E, Ste 202, Stillwater, MN 55082 | 2018-04-30 |
1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
1184001919 | Grant Rohrig | Specialist/Technologist | 8727 Jeffrey Ave North, Stillwater, MN 55082 | 2015-04-30 |
1346688991 | Kellie Ann Seth | Chiropractor | 200 Chestnut St E Ste 202, Stillwater, MN 55082 | 2013-06-05 |
1770928426 | Rivertown Animal Hospital | Veterinarian | 135 New England Place, Stillwater, MN 55082 | 2013-05-08 |
1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
Find all providers in zip 55082 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932734555 | Victoria Dotter | Counselor | 1912 Eastern Ave, Stillwater, OK 74074-6232 | 2020-03-04 |
1679039937 | Kensie Lyon | Counselor | 1005 S Mcdonald St, Stillwater, OK 74074-5220 | 2019-02-12 |
1023511508 | Leslie Erin Shuck | Counselor | 2325 W 7th Pl, Stillwater, OK 74074-1902 | 2018-03-12 |
1528591575 | Susan Clark | Counselor | 604 S Walnut, Stillwater, OK 74074-4222 | 2017-04-06 |
1376915967 | Kalin Tinnin | Counselor | 4599 N Washington St, Stillwater, OK 74075-1278 | 2015-10-22 |
1881061885 | Tayler Hall | Counselor | 121 S Duck St, Ste. 1, Stillwater, OK 74074-3292 | 2015-08-25 |
1851708721 | Jennifer Sobel | Counselor | 1621 S Surrey Dr, Stillwater, OK 74074-1851 | 2014-07-12 |
1972928505 | Megan Best | Counselor | 920 S Murphy St Apt 12301, Stillwater, OK 74074-1767 | 2014-02-18 |
1457604720 | Evelyn Creggett | Counselor | 1200 N Perkins Rd, Apt M1, Stillwater, OK 74075-7104 | 2012-10-23 |
1144570565 | Nikkie Jo Dunnigan | Counselor | 2322 W 7th, Stillwater, OK 74074 | 2012-09-13 |
Find all providers in STILLWATER |
City | STILLWATER |
Zip Code | 55082 |
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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.