MRS. NICHOLE ELIZABETH YOUNG (NPI# 1861099194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861099194 |
| Entity Type | Individual |
| Full Name | MRS. NICHOLE ELIZABETH YOUNG |
| Credential | MA, LPCC |
| Practice Address |
2030 Rahn Way Eagan MN 55122-2300 |
| Mailing Address |
9391 Jarrod Ave S Cottage Grove MN 55016-5003 |
| Practice Telephone | 6124006174 |
| Mailing Telephone | 8109555477 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2608 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467936344 | Nichole Young | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-09-18 |
| Street Address |
2030 RAHN WAY |
| City | EAGAN |
| State | MN |
| Zip Code | 55122-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316181845 | Dana Christine Tran | Marriage & Family Therapist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2009-04-28 |
| 1912508383 | Kellie Denise Metzger | Speech-Language Pathologist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2020-11-03 |
| 1326654682 | Lindsey Little | Social Worker | 2030 Rahn Way, Eagan, MN 55122-2300 | 2020-09-21 |
| 1780217448 | Chayla Fenske | Behavior Technician | 2030 Rahn Way, Eagan, MN 55122-2300 | 2020-02-20 |
| 1952940744 | Michelle Lee Manger-plant | Marriage & Family Therapist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2019-12-27 |
| 1316586175 | Sarah Rinder | Occupational Therapist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2019-12-26 |
| 1659929362 | Danielle Charlene Athmann | Occupational Therapist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2019-08-27 |
| 1073074886 | Samantha Kraus | Speech-Language Pathologist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2019-03-26 |
| 1083170336 | Erin Margaret-campell Shields | Marriage & Family Therapist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2019-02-12 |
| 1285118281 | Erin Kleiner | Behavior Technician | 2030 Rahn Way, Eagan, MN 55122-2300 | 2018-09-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651753 | Alvaro Jesus Jimenez Aguilar | Registered Nurse | 1764 Silver Bell Rd, Eagan, MN 55122 | 2019-01-02 |
| 1194213280 | Amherst H. Wilder Foundation | Lodging | Lincoln Place, 1997 Gold Trail, Eagan, MN 55122 | 2018-04-25 |
| 1831541168 | Mackenzie Lea Kerber | Counselor | 3410 Federal Dr Suite 101, Eagan, MN 55122 | 2016-07-11 |
| 1285010074 | Eagan Pointe Senior Living | Assisted Living Facility | 4232 Black Hawk Road, Eagan, MN 55122 | 2015-08-04 |
| 1700268828 | Kara Beth Rose | Specialist/Technologist | 4560 Cinnamon Ridge Trail, Eagan, MN 55122 | 2015-06-25 |
| 1558740803 | Samuel Johnson | Physician Assistant | 2901 Metro Drive, Suite 527, Bloomington, MN 55122 | 2015-05-20 |
| 1528451028 | Judi Ross Holistic Therapy, LLC | Marriage & Family Therapist | 4141 Old Sibley Memorial Highway, Eagan, MN 55122 | 2015-03-09 |
| 1447649637 | Leah Ruth Streitman | Physician Assistant | 3460 Washington Dr Ste 200, Eagan, MN 55122 | 2015-01-12 |
| 1518362193 | Cedar Valley Center for Child & Family Therapy | Preferred Provider Organization | 3460 Washington Dr., Suite 110, Eagan, MN 55122 | 2014-10-25 |
| 1316351703 | Wecare Dental of Eagan P.c | Clinic/Center | 1625 Lena Court Suite 100, Eagan, MN 55122 | 2014-06-13 |
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| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659906188 | Lotus Counseling Center LLC | Counselor | 4660 Slater Rd Ste 145, Eagan, MN 55122-4047 | 2020-03-04 |
| 1881240927 | Erika Rae Heglund | Counselor | 3450 O Leary Lane, Eagan, MN 55123-5512 | 2019-08-14 |
| 1275073496 | Meagen Sweeney | Counselor | 2100 Silver Bell Rd, Eagan, MN 55122-1024 | 2017-03-07 |
| 1730742792 | Shannon Derfus | Counselor | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2019-04-16 |
| 1164981429 | Tatiana Morris | Counselor | 4141 Old Sibley Memorial Highway, Eagan, MN 55122 | 2019-03-17 |
| 1457830762 | Michelle Retzer | Counselor | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2018-08-08 |
| 1568949774 | Mara Jane Morley | Counselor | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2018-07-20 |
| 1992207096 | Justina Peters | Counselor | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2018-03-05 |
| 1366955254 | Kristy Brecke | Counselor | 2130 Cliff Rd Ste 200, Eagan, MN 55122-2487 | 2017-11-14 |
| 1891142287 | Stephanie Miller | Counselor | 3460 Washington Dr, Suite 110, Eagan, MN 55122-1338 | 2016-05-16 |
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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.