STEFANIE WALLACE (NPI# 1972983682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972983682 |
| Entity Type | Individual |
| Full Name | STEFANIE WALLACE |
| Practice Address |
7954 University Ave Ne Fridley MN 55432-1860 |
| Practice Telephone | 7637803036 |
| Mailing Telephone | 7637803036 |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2017-02-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 3103 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558836908 | Stefanie Wallace | Counselor | 130 Arizona Ave Ste 1500, Plattsburgh, NY 12903-4908 | 2018-10-11 |
| Street Address |
7954 UNIVERSITY AVE NE |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432-1860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679516611 | Deanne Miller | Social Worker | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2006-06-14 |
| 1508481409 | Nicole Michelle Rohrer | Counselor | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2020-06-16 |
| 1710510888 | Megan Johnson | Counselor | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2020-02-18 |
| 1710526181 | Max Utterberg | Counselor | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2020-01-02 |
| 1730725482 | Karen Leta Gillespie | Marriage & Family Therapist | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2019-11-18 |
| 1881237063 | Jennifer Lawrence | Social Worker | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2019-10-21 |
| 1740822303 | Emily Verna Bell | Counselor | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2019-10-15 |
| 1568004323 | Moriah Mueller | Social Worker | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2019-10-14 |
| 1477195519 | Natalee E Yeazle | Counselor | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2019-10-10 |
| 1144870981 | Kimberley Zack | Counselor | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2019-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| 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 |
|---|---|---|---|---|
| 1861530859 | Dawn L Ziemer | Marriage & Family Therapist | 7362 University Ave Ne Ste 307, Fridley, MN 55432-3150 | 2007-02-02 |
| 1235216151 | Helena Family Support | Marriage & Family Therapist | 5301 E River Rd Ste 110, Fridley, MN 55421-3778 | 2006-11-01 |
| 1083248025 | Brittany Stark | Marriage & Family Therapist | 5155 E River Rd Ste 401, Fridley, MN 55421-3777 | 2020-02-28 |
| 1609400134 | Emily Heitman | Marriage & Family Therapist | 5155 E River Rd Ste 401, Fridley, MN 55421-3777 | 2020-02-24 |
| 1730725482 | Karen Leta Gillespie | Marriage & Family Therapist | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2019-11-18 |
| 1336615202 | Mindful Way Counseling, LLC | Marriage & Family Therapist | 1250 Moore Lake Dr E Ste 152, Fridley, MN 55432-5135 | 2018-10-18 |
| 1063995272 | Bailey Catherine Peterson | Marriage & Family Therapist | 5155 E River Rd Ste 401, Fridley, MN 55421-3777 | 2018-09-13 |
| 1902327422 | Ashley Baird Urbanski | Marriage & Family Therapist | 7362 University Ave Ne Ste 101, Fridley, MN 55432-3152 | 2017-07-06 |
| 1538694120 | Meredith Bilse | Marriage & Family Therapist | 5301 E River Rd, Fridley, MN 55421-1024 | 2017-04-20 |
| 1447793062 | Vonda Malone Tiede | Marriage & Family Therapist | 7671 Central Ave Ne, Fridley, MN 55432-3575 | 2016-11-30 |
| Find all providers in FRIDLEY | ||||
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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.