JILL ELLINGSON (NPI# 1851635973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851635973 |
| Entity Type | Individual |
| Full Name | JILL ELLINGSON |
| Credential | MA, LMFT |
| Practice Address |
445 Broadway Ave Ste A St Paul Park MN 55071 |
| Mailing Address |
445 Broadway Ave Ste A St Paul Park MN 55071-1554 |
| Practice Telephone | 6122421224 |
| Practice Fax Number | 6513402587 |
| Mailing Telephone | 6122421224 |
| Mailing Fax Number | 6513402587 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2020-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 2671 | MN | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
445 BROADWAY AVE STE A |
| City | ST PAUL PARK |
| State | MN |
| Zip Code | 55071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403942 | Kaitlyn Pijanowski | Counselor | 445 Broadway Ave Ste A, St Paul Park, MN 55071-1554 | 2020-10-02 |
| 1053824391 | Nikki Donnella Divirgilio | Social Worker | 445 Broadway Ave Ste A, St Paul Park, MN 55071-1554 | 2017-11-08 |
| 1457724205 | Brave Soul Counseling Services | Marriage & Family Therapist | 445 Broadway Ave Ste A, St Paul Park, MN 55071-1554 | 2015-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750615779 | Alternative Home Care Solutions LLC | Home Health | 1648 Dixon Dr, St Paul Park, MN 55071-1237 | 2009-09-23 |
| 1588108914 | Rebecca Jean Meyer | Counselor | 1513 10th Ave, Saint Paul Park, MN 55071-1302 | 2016-12-04 |
| 1356993125 | Jennifer Sue Johnson | Counselor | 1513 10th Ave, St Paul Park, MN 55071-1302 | 2019-07-11 |
| 1881718971 | West Side Community Health Services, Inc. | Clinic/Center | 980 9th Ave S, Saint Paul Park, MN 55071-1436 | 2007-03-16 |
| 1518422757 | Gentle Comfort Home Care LLC | In Home Supportive Care | 1115 Summit Ave, Saint Paul Park, MN 55071-1443 | 2019-02-01 |
| 1720402621 | Natural Science Academy | Local Education Agency (LEA) | 920 Holley Ave Ste 3, St Paul Park, MN 55071-1558 | 2014-02-12 |
| 1811330103 | Gia Rendon | Physician Assistant | 301 Saint Paul Park Rd, St Paul Park, MN 55071-1583 | 2013-04-17 |
| 1548595465 | The Milton Home | Respite Care | 1305 6th St, St Paul Park, MN 55071-1640 | 2009-10-09 |
| 1013431352 | Blue Starr Home Care Inc | Home Health | 1124 1st St, Saint Paul Park, MN 55071-1703 | 2017-07-28 |
| 1477975357 | Noor Haji-munye | Registered Nurse | 1020 2nd St, Saint Paul Park, MN 55071-1706 | 2014-01-13 |
| Find all providers in zip 55071 | ||||
| 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 |
|---|---|---|---|---|
| 1457724205 | Brave Soul Counseling Services | Marriage & Family Therapist | 445 Broadway Ave Ste A, St Paul Park, MN 55071-1554 | 2015-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295491 | Wanda Baker | Marriage & Family Therapist | 653 Galtier St Apt 109, Saint Paul, MN 55103-1793 | 2020-11-02 |
| 1437750056 | Tanner Zimmerman | Marriage & Family Therapist | 1887 Silver Bell Rd Apt 105, Eagan, MN 55122-1197 | 2020-11-02 |
| 1063012839 | Rosemary Ann Senjem | Marriage & Family Therapist | 305 Greeley St S Ste 105, Stillwater, MN 55082-7029 | 2020-10-29 |
| 1609476738 | Shelly Melroe | Marriage & Family Therapist | 700 Twelve Oaks Center Dr Ste 700, Wayzata, MN 55391-4405 | 2020-10-28 |
| 1023617933 | Rachael Lee Cavegn | Marriage & Family Therapist | 4969 Hillvale Ave N, Oakdale, MN 55128-2212 | 2020-10-21 |
| 1669071528 | Lineage Counseling | Marriage & Family Therapist | 4900 Highway 169 N Ste 115, New Hope, MN 55428-4058 | 2020-10-21 |
| 1528667631 | Brittany L Denucci | Marriage & Family Therapist | 324 W Superior St Ste 828, Duluth, MN 55802-1719 | 2020-10-20 |
| 1841899184 | Michelle Suarez | Marriage & Family Therapist | 7831 E Bush Lake Rd Ste 200d, Edina, MN 55439-3164 | 2020-10-19 |
| 1649878927 | Judith Ann Richardson-mahre | Marriage & Family Therapist | 15699 Highview Dr, Apple Valley, MN 55124-7001 | 2020-10-09 |
| 1578179727 | Natasha Ann Keller | Marriage & Family Therapist | 1802 Wooddale Dr Ste 101, Woodbury, MN 55125-2993 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | ST PAUL PARK |
| Zip Code | 55071 |
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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.