DBT and Emdr Specialists, P.a.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CC291 LPCC Issued in MN

Legal business name

DBT AND EMDR SPECIALISTS, P.A.

Practice address

19377 Upland St NW
Elk River, MN 55330-4140

Phone

(612) 237-7341

NPI assigned

Mar 9, 2015

Organization subpart

No

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

Authorized official

Name

Leslie Fuchs

Title

Ceo

Phone

(904) 605-4986

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Rose Roeller, MSW, LICSW

  • Clinical Social Worker
  • Coon Rapids, MN
  • NPI 1801193123
  NPD
• Katherine Elizabeth Schober-Ordonez, MS, NCC, LPCC

  • Professional Counselor
  • Plymouth, MN
  • NPI 1932738101
  NPD
• Jennifer Klutch, MA, LPCC

  • Professional Counselor
  • Otsego, MN
  • NPI 1245520048
  NPD (past)

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1750774162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19377 UPLAND ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553304140",
            "telephone_number": "612-237-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19377 UPLAND ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553304140",
            "telephone_number": "612-237-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DBT AND EMDR SPECIALISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "FUCHS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-605-4986"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "CC291 LPCC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPIJENNIFER KLUTCH",
            "identifier": "1245520048",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassondra Lane Dahlheimer, PA-C
• Jennifer Kay Dahlseid
• Matthew David Dahlson
• Donald Damborg, M.A., LMFT
• Anthony Michael Damiani
• Gabriel Robert Dean, PHARM D
• Angela K Dee-Ellingson, PT
• Dekals Home Care
• Cyndie Deridder, LICSW
• Thomas Dewall, D.C.

• Community/Behavioral Health Agency in Elk River, MN
• Providers in Elk River, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.