MRS. SUZANNE MAXINE KELLY


Address: 2520 Coon Rapids Blvd Nw Ste 260, Coon Rapids, MN 55433-3908
Phone: 7635760728

MRS. SUZANNE MAXINE KELLY (NPI# 1801977863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801977863
Entity Type Individual
Full Name MRS. SUZANNE MAXINE KELLY
Credential LMFT
Practice Address 2520 Coon Rapids Blvd Nw Ste 260
Coon Rapids
MN 55433-3908
Mailing Address 2520 Coon Rapids Blvd Nw
Ste 260
Coon Rapids
MN 55433-3908
Practice Telephone 7635760728
Practice Fax Number 7635607453
Mailing Telephone 7635760728
Mailing Fax Number 7635607453
Enumeration Date 2006-10-18
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 1121 MN Behavioral Health & Social Service Providers

Other Providers SUZANNE KELLY

NPI Name Taxonomy Address Enumeration
1649532250 Suzanne Kelly Specialist 65 Middle Rd, Blue Point, NY 11715-1918 2012-06-10
1811276611 Suzanne D Kelly Social Worker 323 Mill Rd, Westhampton Beach, NY 11978 2011-08-10
1366420192 Suzanne Autrey Kelly Counselor 110 W Elm St, Yadkinville, NC 27055-1758 2006-01-03
1912484254 Suzanne S Kelly Physical Therapy Assistant 9846 Hwy 31 E, Tyler, TX 75705-2329 2018-07-19
1811300742 Suzanne Kelly Nurse Practitioner 218 Main St, Cold Spring, MN 56320-2533 2014-06-09
1881036127 Suzanne Kelly Counselor 200 N 7th St, Lebanon, PA 17046-5040 2013-07-29
1235396151 Suzanne Kelly Physical Therapist 901 N Curtis Rd Ste 204, Boise, ID 83706-1340 2008-05-19
1275705485 Suzanne Kuttler Kelly Family Medicine 4897 York Road, Buckingham, PA 18912-0278 2008-03-27

Office Location

Street Address 2520 COON RAPIDS BLVD NW STE 260
City COON RAPIDS
State MN
Zip Code 55433-3908

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770134793 Shelley Karee Peterson Technician 10311 Bittersweet St Nw, Coon Rapids, MN 55433 2019-09-20
1578122057 Courtney Gau Behavior Technician Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 2019-06-10
1992275606 Maliki Fofee Kamara Licensed Practical Nurse 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 2018-11-26
1992284541 Sarah Vennes Massage Therapist 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 2018-08-13
1538646609 Paige Prince Behavior Technician Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 2018-07-23
1154828242 Karin Lea Englund Dentist 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 2018-04-06
1235642513 Vista Family Eye Care LLC Optometrist 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 2017-11-09
1538697818 Mohammed Nmn Ahmed Internal Medicine 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 2017-05-31
1639531353 Journi LLC Nurse Practitioner 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 2016-03-22
1821457722 Honorine Boyce Licensed Practical Nurse 2743 111th Ave. Nw, Coon Rapids, MN 55433 2016-02-19
Find all providers in zip 55433

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649807272 Nathan Daniel Myers Marriage & Family Therapist 2612 Carlson Dr Nw, Coon Rapids, MN 55433-1807 2020-03-24
1215304738 Bruce A. Johnson Marriage & Family Therapist 425 Coon Rapids Blvd., Coon Rapids, MN 55433 2015-09-01
1497151385 Nicole M Shaffer Marriage & Family Therapist 2369 109th Ave Nw, Coon Rapids, MN 55433-4156 2014-11-05
1346315405 Bradley K. Lambson, Pllc Marriage & Family Therapist 1635 Coon Rapids Blvd Nw, Suite 220, Coon Rapids, MN 55433-4779 2006-11-22
1245861798 Sarah Elizabeth Parker Marriage & Family Therapist 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 2020-02-03
1780230789 Andrew Phillip Shold Marriage & Family Therapist 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 2019-08-15
1891250163 Patricia Sandkamp Marriage & Family Therapist 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433-2599 2019-01-31
1184191165 James B Benda Marriage & Family Therapist 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708 2018-10-29
1871071985 Ariel Pavelka Marriage & Family Therapist 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 2018-07-31
1538653969 Gabrielle Nordstrom Marriage & Family Therapist 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 2018-06-19
Find all providers in COON RAPIDS

Competitor

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City COON RAPIDS
Zip Code 55433

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Dataset Information

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.

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