| Andrew Carson, MA | |
|
4100 Berkshire Ln N Ste 250, Plymouth, MN 55446-3813 | |
| (612) 223-8898 | |
| (833) 972-0904 |
| Full Name | Andrew Carson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 4100 Berkshire Ln N Ste 250, Plymouth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124624614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 4464 (Minnesota) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Care Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851716245 PECOS PAC ID: 7517181266 Enrollment ID: O20140619000479 |
| Entity Name | Plymouth Psych Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003195942 PECOS PAC ID: 6800103490 Enrollment ID: O20150915000728 |
| Entity Name | Optum Behavioral Care Of Colorado, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124898556 PECOS PAC ID: 0941648463 Enrollment ID: O20240725003342 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Carson, MA 1601 4th Ave S, Buffalo, MN 55313-1283 Ph: (763) 245-2576 | Andrew Carson, MA 4100 Berkshire Ln N Ste 250, Plymouth, MN 55446-3813 Ph: (612) 223-8898 |
Courtney Hennis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4100 Berkshire Ln N Ste 250, Plymouth, MN 55446 Phone: 612-223-8898 | |
Jesse Inderlee, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13895 Industrial Park Blvd, Plymouth, MN 55441 Phone: 763-559-5677 | |
Lauris J Prinsen, L.A.D.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12805 Highway 55, Suite 211, Plymouth, MN 55441 Phone: 763-550-9005 Fax: 763-559-2118 | |
Jessica Sklar, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19095 51st Pl N, Plymouth, MN 55446 Phone: 952-212-1330 | |
Hailey Dahl, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 3033 Campus Dr Ste E180, Plymouth, MN 55441 Phone: 952-835-2002 Fax: 651-383-4935 | |
Luke Morken, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10000 Hwy 55 Ste 300, Plymouth, MN 55441 Phone: 763-412-0722 | |
Emily Cross, MA, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Forestview Ln N, Plymouth, MN 55441 Phone: 763-546-8008 |