Julie Eschenlauer, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP4798 Issued in MN

Practice address

1068 Lake St S
Suite 12
Forest Lake, MN 55025-2639

Phone

(763) 412-9724

NPI assigned

Feb 8, 2011

Last updated

Feb 8, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakes Area Human Services, Inc.

  • Community/Behavioral Health Agency
  • Forest Lake, MN
  • NPI 1700956646
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1164728176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9785 XEBEC ST NE",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "550142508",
            "telephone_number": "763-412-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 LAKE ST S",
            "address_2": "SUITE 12",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252639",
            "telephone_number": "763-412-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCHENLAUER",
        "first_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP4798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kourtney Ione Eichten
• Diane Lynn Eide, R.N
• Serene Eidem
• Kari Lynn Eliason, O.D.
• Eric M Knaff P.a.
• Evygabs Healthcare Systems LLC.
• Fairview Express Care (M Health Fairview Counseling Forest Lake)
• Fairview Health Services (Fairview Recovery Services)
• Brenda Lee Fandel, D.C.
• Colleen Michelle Flaten

• Clinical Psychologist in Forest Lake, MN
• Providers in Forest Lake, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.