MR. KRAIG W. SKISTAD (NPI# 1871821819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871821819 |
| Entity Type | Individual |
| Full Name | MR. KRAIG W. SKISTAD |
| Credential | LPCC |
| Practice Address |
7236 Forestview Ln N # 3201 Maple Grove MN 55369-5656 |
| Practice Telephone | 7634209400 |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2011-01-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC00161 | MN | Behavioral Health & Social Service Providers |
| Street Address |
7236 FORESTVIEW LN N # 3201 |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-5656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088698 | Chart Your Course Therapeutic Services | Counselor | 6900 Ives Ln N, Maple Grove, MN 55369-5414 | 2020-06-24 |
| 1699073528 | Brent Richter | Counselor | 7218 Forestview Ln N, Suite 107, Maple Grove, MN 55369-5644 | 2011-03-01 |
| 1760004691 | Melissa M Baures | Counselor | 9200 Elm Creek Blvd N, Maple Grove, MN 55369-5012 | 2020-05-14 |
| 1336782408 | Diane Branson | Counselor | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2019-10-22 |
| 1225691868 | Ho Kwan Lok | Counselor | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2019-04-18 |
| 1386109767 | Twin Towers, Inc. | Counselor | 13700 Reimer Dr N Ste 220, Maple Grove, MN 55311-4548 | 2019-02-09 |
| 1427532647 | Hope Based Counseling, LLC | Counselor | 7200 Forestview Ln N, Maple Grove, MN 55369-5571 | 2018-09-24 |
| 1497290183 | Angela Laschinger | Counselor | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2017-01-04 |
| 1710432935 | Rebekah Birmingham | Counselor | 12915 63rd Ave N, Maple Grove, MN 55369-6001 | 2016-08-17 |
| 1962851303 | Mark Molyneaux | Counselor | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2016-06-07 |
| Find all providers in MAPLE GROVE | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
Please comment or provide details below to improve the information on MR. KRAIG W. SKISTAD.
| 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.