ELIZABETH WALSH ERICKSON (NPI# 1831611938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831611938 |
Entity Type | Individual |
Full Name | ELIZABETH WALSH ERICKSON |
Credential | LADC |
Practice Address |
516 S Pokegama Ave Grand Rapids MN 55744-3800 |
Practice Telephone | (218) 327-2001 |
Mailing Telephone | 2183272001 |
Enumeration Date | 2017-07-10 |
Last Update Date | 2017-07-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
303586 | MN | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831593359 | Elizabeth Blixt Erickson | Licensed Practical Nurse | 5120 Stettin Dr, Wausau, WI 54401-3824 | 2014-10-13 |
1063711471 | Elizabeth Susan Erickson | Spec/Tech, Pathology | 2400 Fox Rd, Sturgis, SD 57785-2204 | 2011-03-24 |
1952592511 | Elizabeth L Erickson | Speech-Language Pathologist | 19404 Bothell Way Ne Apt B304, Bothell, WA 98011-6003 | 2007-08-07 |
1033322342 | Elizabeth Y Erickson | Speech-Language Pathologist | 5012 Pheasant Run, Alexandria, LA 71303-2450 | 2007-05-07 |
1861518250 | Elizabeth W Erickson | Physical Therapist | 10345 E Iliff Ave, Aurora, CO 80247-3622 | 2007-03-21 |
1558463125 | Elizabeth Ann Erickson | Family Medicine | Unit 7095 Box 185, Apo, NY 09824 | 2006-09-02 |
1043732449 | Elizabeth Ernie Erickson | Registered Nurse | 1100 N State St, Los Angeles, CA 90033-5000 | 2017-07-07 |
1770015679 | Elizabeth Erickson | Rehabilitation Practitioner | 1501 Hughes Way, Long Beach, CA 90810-1876 | 2017-03-30 |
1649697988 | Elizabeth Abbs Erickson | Counselor | 2901 Hunters Trl, Portage, WI 53901-3403 | 2014-03-25 |
1154623080 | Elizabeth Christine Erickson | Physician Assistant | 1105 Sixth St, Traverse City, MI 49684-2345 | 2010-11-29 |
Street Address |
516 S POKEGAMA AVE |
City | GRAND RAPIDS |
State | MN |
Zip Code | 55744-3800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790795797 | Bryan Jon Stenlund | Psychologist | 516 S Pokegama Ave, Ste B, Grand Rapids, MN 55744 | 2006-08-09 |
1548861016 | Tammy Lynn Word | Registered Nurse | 516 S Pokegama Ave, Grand Rapids, MN 55744-3800 | 2020-11-02 |
1720699077 | Lisa J Bildeaux | Counselor | 516 S Pokegama Ave, Grand Rapids, MN 55744-3800 | 2020-08-11 |
1962051359 | Melissa Sue Brusacoram | Registered Nurse | 516 S Pokegama Ave, Grand Rapids, MN 55744-3800 | 2019-09-09 |
1417517673 | Anne Hammann | Counselor | 516 S Pokegama Ave, Grand Rapids, MN 55744-3800 | 2019-06-19 |
1063903268 | Bret Decker | Counselor | 516 S Pokegama Ave, Grand Rapids, MN 55744-3800 | 2018-05-23 |
1578069977 | Maria Louisa Asplund | Counselor | 516 S Pokegama Ave, Grand Rapids, MN 55744-3800 | 2018-04-04 |
1689187254 | Dawna Lynn Mclaughlin | Counselor | 516 S Pokegama Ave, Grand Rapids, MN 55744-3800 | 2017-11-06 |
1629590823 | Ann Marie Olson | Counselor | 516 S Pokegama Ave, Grand Rapids, MN 55744-3800 | 2017-07-10 |
1093249419 | Jared Harnack | Registered Nurse | 516 S Pokegama Ave, Grand Rapids, MN 55744-3800 | 2017-04-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
1699392555 | Duane Stanley Helmer | Counselor | First Call for Help of Itasca County, 1707 Nw 4th Street Suite B, Grand Rapids, MN 55744 | 2020-06-26 |
1821631391 | Patrice Marie Curtiss | Technician | 23792 Winckler Road, Grand Rapids, MN 55744 | 2019-10-28 |
1578117438 | Christina Marie Hubred | Advanced Practice Dental Therapist | Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744 | 2019-07-30 |
1780081877 | Fcsl Grand Rapids, LLC | Assisted Living Facility | 949 1/2 Sw 11th Street, Grand Rapids, MN 55744 | 2014-12-04 |
1912311333 | Doctor V LLC | Psychologist | 2002 Cromell Drive, Hope House of Itasca County, Laprairie, MN 55744 | 2014-06-13 |
1104244987 | Linda Reinen-thompson | Contractor | 34307 Hwy. 38, Grand Rapids, MN 55744 | 2014-03-31 |
1275883266 | Lana Rae Jacobson | Registered Nurse | 1401 Nw 9th Street, Grand Rapids, MN 55744 | 2012-09-17 |
1518252048 | David Allen Griggs | Pharmacist | 2140 S.pokegama Ave., T-0904, Target, Grand Rapids, MN 55744 | 2011-06-13 |
1447575063 | Kelly Ann Shermoen | Pharmacist | 18 Se 10th Street, Grand Rapids, MN 55744 | 2010-04-07 |
Find all providers in zip 55744 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891302717 | Paige J Welch | Counselor | 1509 Diamond Ave Ne, Grand Rapids, MI 49505-5217 | 2020-09-24 |
1588277040 | Gregory Dean Retzlaff | Counselor | 2043 Rowe Ave Ne, Grand Rapids, MI 49505-4238 | 2020-08-25 |
1699392555 | Duane Stanley Helmer | Counselor | First Call for Help of Itasca County, 1707 Nw 4th Street Suite B, Grand Rapids, MN 55744 | 2020-06-26 |
1649779927 | Larry Mitchell | Counselor | 1960 Millbrook St Se, Grand Rapids, MI 49508-2636 | 2018-02-01 |
1235657388 | Courtney Albin | Counselor | 2504 Ardmore St Se Ste 202b, Grand Rapids, MI 49506-4901 | 2017-09-08 |
1649712001 | Alexander C Meyer | Counselor | 1200 S Pokegama Ave Ste 160, Grand Rapids, MN 55744-4296 | 2016-11-15 |
1871048934 | Nicole Nutt | Counselor | 32 Winter Ave Sw Apt 228, Grand Rapids, MI 49504-6488 | 2016-08-18 |
1306247564 | Krystal Strotbaum | Counselor | 5242 Plainfield Ave Ne Ste E, Grand Rapids, MI 49525-1084 | 2014-09-08 |
1710390372 | Laura Meeker Wicksall | Counselor | 1430 Robinson Rd Se Ste 206, Grand Rapids, MI 49506-1723 | 2014-06-11 |
1023358314 | Carole Lynn Walters | Counselor | 959 Wealthy St Se, Grand Rapids, MI 49506-2519 | 2013-02-22 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 55744 |
Please comment or provide details below to improve the information on ELIZABETH WALSH ERICKSON.
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.