PARACLETE PSYCHOLOGICAL SERVICES (NPI# 1881915874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881915874 |
| Entity Type | Organization |
| Organization Name | PARACLETE PSYCHOLOGICAL SERVICES |
| Practice Address |
1030 County Road E W Suite 260 Shoreview MN 55126-8152 |
| Practice Telephone | 7158642417 |
| Practice Fax Number | 6515288705 |
| Mailing Telephone | 7158642417 |
| Mailing Fax Number | 6515288705 |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2010-06-14 |
| Authorized Official Name | DR. MARCUS K KILIAN (PRESIDENT/ CHIEF MANAGER) |
| Authorized Official Telephone | 7158642417 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LP5005 | MN | Agencies |
| Street Address |
1030 COUNTY ROAD E W SUITE 260 |
| City | SHOREVIEW |
| State | MN |
| Zip Code | 55126-8152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205813482 | Mary Ruth Hayes I | Advanced Practice Midwife | 1030 County Road E W, Suite 200, Shoreview, MN 55126-8152 | 2005-12-28 |
| 1598164386 | Elizabeth Jane Rowland | Advanced Practice Midwife | 1030 County Road E W, Suite 200, Shoreview, MN 55126-8152 | 2014-08-18 |
| 1831327618 | Barbara Jean Farr | Registered Nurse | 1030 County Road E W, 200, Shoreview, MN 55126-8152 | 2009-06-30 |
| 1346477635 | Colleen Martens Endrizzi, Inc. | Speech-Language Pathologist | 1030 County Road E W, Suite 240, Shoreview, MN 55126-8152 | 2009-06-15 |
| 1851543813 | Ann Simonsen Oswood | Advanced Practice Midwife | 1030 County Road E W, Suite 200, Shoreview, MN 55126-8152 | 2008-10-21 |
| 1972753465 | Mary Louise Sanderlin | Advanced Practice Midwife | 1030 County Road E W, Suite 200, Shoreview, MN 55126-8152 | 2008-09-22 |
| 1194919571 | Theresa Plasencia Physical Therapy, Inc. | Physical Therapist | 1030 County Road E W, Suite 240, Shoreview, MN 55126-8152 | 2007-08-29 |
| 1093735490 | Yasmine Moideen | Psychologist | 1030 County Road E W, Suite 230, Shoreview, MN 55126-8152 | 2006-07-20 |
| 1497732481 | Laura Anne France | Obstetrics & Gynecology | 1030 County Road E W, Suite 200, Shoreview, MN 55126-8152 | 2005-12-29 |
| 1922085117 | Rebeca Barroso | Advanced Practice Midwife | 1030 County Road E W, Suite 200, Shoreview, MN 55126-8152 | 2005-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174184964 | Natural Smiles Dental Care | Clinic/Center | 3434 Lexington Ave. N, Suite 700, Shoreview, MN 55126 | 2019-06-24 |
| 1588194740 | Michael Simons | Hearing Instrument Specialist | 1007 Tiller Lane, Shoreview, MN 55126 | 2017-06-19 |
| 1902255441 | Latarsha Nicole Bronaugh | Counselor | 3490 Lexington Ave North, Suite 205, Shoreview, MN 55126 | 2016-06-06 |
| 1265809479 | Emily Elizabeth Bade | Social Worker | 3490 Lexington Ave. N, Suite 205, Shoreview, MN 55126 | 2015-08-24 |
| 1669857520 | Laurel Ann Walsh | Marriage & Family Therapist | 3490 Lexington Ave. N., Suite 205, Shoreview, MN 55126 | 2015-07-21 |
| 1598150930 | Nova Bhs | Psychologist | 521 Tanglewood Dr., Shoreview, MN 55126 | 2015-04-02 |
| 1144570714 | Healthstat Arkansas/pace Ind.- St. Paul | Preventive Medicine | 3737 Lexington Ave. N, St. Paul, MN 55126 | 2012-09-11 |
| 1679843619 | Shoreview Dental Associates | Dentist | 4700 Lexington Avenue N, Suite D, Shoreview, MN 55126 | 2012-01-09 |
| 1700039575 | Jacqueline Elizabeth Hoppenrath | Audiologist | 4570 Churchill St Ste 130, Shoreview, MN 55126 | 2008-10-24 |
| 1164545935 | Lucia Jane Lein | Chiropractor | 1000 W. County Rd. E, 210, Shoreview, MN 55126 | 2007-04-09 |
| Find all providers in zip 55126 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164057147 | Stephanie A Johnson | Community/Behavioral Health | 3550 Lexington Ave N Ste 207, Shoreview, MN 55126-8136 | 2020-03-10 |
| 1437298668 | Kindred Family Focus | Community/Behavioral Health | 5985 Rice Creek Pkwy Ste 202, Shoreview, MN 55126-5037 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922102 | Alliance Development Center LLC | Community/Behavioral Health | 1545 E Lake St Ste 210, Minneapolis, MN 55407-1742 | 2020-11-05 |
| 1083212419 | Stepping Stone Counseling, LLC | Community/Behavioral Health | 339 9th St Ste C, Windom, MN 56101-1694 | 2020-10-16 |
| 1114526548 | Essential Grace Therapy, Pllc | Community/Behavioral Health | 12390 Sherburne Ave Ste 210, Becker, MN 55308-9147 | 2020-10-16 |
| 1770180606 | Anishinaabe Endaad LLC | Community/Behavioral Health | 3027 Queen Ave N, Minneapolis, MN 55411-1060 | 2020-10-05 |
| 1427662543 | Autism Center for Education LLC | Community/Behavioral Health | 2021 E Hennepin Ave Ste 187, Minneapolis, MN 55413-2187 | 2020-09-04 |
| 1235743634 | Amolo House | Community/Behavioral Health | 3730 Fremont Ave N, Minneapolis, MN 55412-2014 | 2020-09-02 |
| 1508470956 | Our Future Inc. | Community/Behavioral Health | 3055 Old Highway 8 Ste 230, St Anthony, MN 55418-2500 | 2020-09-02 |
| 1114539434 | Northway Academy, Inc. | Community/Behavioral Health | 19437 Evans Street Nw, Elk River, MN 55330-1074 | 2020-08-18 |
| 1336750769 | Community Care Partners | Community/Behavioral Health | 2817 Anthony Ln S Ste 312, St Anthony, MN 55418-2886 | 2020-08-10 |
| 1356951255 | Great Lake Care LLC | Community/Behavioral Health | 1710 Douglas Dr N Ste 224e, Golden Valley, MN 55422-4350 | 2020-08-05 |
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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.