JORDAN ST CHARLES (NPI# 1821647546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821647546 |
| Entity Type | Individual |
| Full Name | JORDAN ST CHARLES |
| Practice Address |
2000 Aldrich Ave S Minneapolis MN 55405-3003 |
| Mailing Address |
3359 Pierce St Ne Minneapolis MN 55418-1359 |
| Practice Telephone | 6122238898 |
| Mailing Telephone | 7314147841 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
2000 ALDRICH AVE S |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55405-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407956063 | Keith J Prussing | Chiropractor | 2000 Aldrich Ave S, Minneapolis, MN 55405-3003 | 2006-09-24 |
| 1972114544 | Meredith Lynn Robinson | Counselor | 2000 Aldrich Ave S, Minneapolis, MN 55405-3003 | 2020-08-16 |
| 1811506926 | Hannah Bailey Glasrud | Counselor | 2000 Aldrich Ave S, Minneapolis, MN 55405-3003 | 2020-07-24 |
| 1922616473 | Lucas Campbell | Marriage & Family Therapist | 2000 Aldrich Ave S, Minneapolis, MN 55405-3003 | 2020-07-21 |
| 1942818695 | Johanna Rae Erickson | Marriage & Family Therapist | 2000 Aldrich Ave S, Minneapolis, MN 55405-3003 | 2020-07-20 |
| 1891303772 | Andrea Sunderman Edwards | Counselor | 2000 Aldrich Ave S, Minneapolis, MN 55405-3003 | 2020-07-16 |
| 1043838329 | Brooke Boeckmann | Counselor | 2000 Aldrich Ave S, Minneapolis, MN 55405-3003 | 2020-07-13 |
| 1760001614 | Molly Jockheck | Counselor | 2000 Aldrich Ave S, Minneapolis, MN 55405-3003 | 2020-04-10 |
| 1306494919 | Mindy Glover | Counselor | 2000 Aldrich Ave S, Minneapolis, MN 55405-3003 | 2019-08-27 |
| 1063069896 | Margaret Elizabeth Schiffman | Counselor | 2000 Aldrich Ave S, Minneapolis, MN 55405-3003 | 2019-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003373689 | Minneapolis Health & Wellness Ne, LLC | Physical Therapist | 2125 E Hennepin Ave, Suite 300, Minneapolis, MN 55405 | 2019-03-01 |
| 1033673967 | Amy Fitzgerald | Counselor | 2915 South Wayzata Boulevard, Minneapolis, MN 55405 | 2019-01-24 |
| 1861975245 | Sara Tejani | Dentist | 2232 Hennepin Ave. S., Minneapolis, MN 55405 | 2018-09-11 |
| 1477903995 | James Albert Zeese Jr. | Psychiatry & Neurology | 2401 Laurel Avenue, Minneapolis, MN 55405 | 2016-06-15 |
| 1154786523 | Sophia Bouwens | Acupuncturist | 275 Market St Ste 409, Minneapolis, MN 55405 | 2015-12-29 |
| 1912362732 | Anna Needham | Acupuncturist | 2200 Hennepin Ave S, Minneapolis, MN 55405 | 2015-12-21 |
| 1821423740 | Aja Dionna King | Counselor | 227 Colfax Ave N Ste 15, Minneapolis, MN 55405 | 2013-09-10 |
| 1013280403 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2100 Lyndale Ave S Ste A, Minneapolis, MN 55405 | 2012-02-15 |
| 1396022117 | Sharri Peterson Rogers | Marriage & Family Therapist | 2809 South Wayzata Blvd, Minneapolis, MN 55405 | 2011-11-08 |
| 1447577143 | Kareem Shareef Braxton | Counselor | 227 Colfax Avenue North, Suite 130, Minneapolis, MN 55405 | 2010-04-21 |
| Find all providers in zip 55405 | ||||
| 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 |
|---|---|---|---|---|
| 1588278444 | Sam Chafos Trewick | Counselor | 3237 Fremont Ave S, Minneapolis, MN 55408-3531 | 2020-09-08 |
| 1962026781 | Dylan Thaemert | Counselor | 2012 Bryant Ave S Ste 1, Minneapolis, MN 55405-2819 | 2020-06-08 |
| 1831735141 | Jon Walter Petersen | Counselor | 4136 Queen Ave S Apt 100, Minneapolis, MN 55410-1254 | 2019-11-21 |
| 1790332195 | Esther Swen | Counselor | 2827 Newton Ave N, Minneapolis, MN 55411-1142 | 2019-08-20 |
| 1154976926 | Isuroon | Counselor | 1600 E. Lake St., Suite 1, Minneapolis, MN 55407-1884 | 2019-08-07 |
| 1891354791 | James Clayton | Counselor | 1611 E 32nd St, Minneapolis, MN 55407-1828 | 2019-06-13 |
| 1023592904 | Cody Lewis Oaks | Counselor | 1302 2nd St Ne Ste 210, Minneapolis, MN 55413-2993 | 2018-09-18 |
| 1679847156 | Lavethe Roaitia Liggins | Counselor | 2616 Nicollet Ave South, Minneapolis, MN 55404-0900 | 2012-03-01 |
| 1902196579 | Steven Branco | Counselor | 2323 Benjamin St Ne, Minneapolis, MN 55418-4001 | 2011-04-15 |
| 1447577143 | Kareem Shareef Braxton | Counselor | 227 Colfax Avenue North, Suite 130, Minneapolis, MN 55405 | 2010-04-21 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55405 |
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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.