Jennifer Ballinger, LPCC | |
1547 30th Ave S, Moorhead, MN 56560-5149 | |
(218) 287-4338 | |
(218) 287-5928 |
Full Name | Jennifer Ballinger |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1547 30th Ave S, Moorhead, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508137480 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | CC01746 (Minnesota) | Primary |
101YP2500X | Counselor - Professional | 706-1-1-12 (North Dakota) | Secondary |
Entity Name | Solutions Behavioral Healthcare Professionals Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801909239 PECOS PAC ID: 0345209524 Enrollment ID: O20060125000959 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Ballinger, LPCC 1547 30th Ave S, Moorhead, MN 56560-5149 Ph: (218) 287-4338 | Jennifer Ballinger, LPCC 1547 30th Ave S, Moorhead, MN 56560-5149 Ph: (218) 287-4338 |
Janelle Smolen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 | |
Mr. John Christianson Iv, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 725 Center Ave, Suite 5, Moorhead, MN 56560 Phone: 218-287-1500 Fax: 218-287-1267 | |
Shenika Nicole Bordeaux-collins, LAC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2405 8th St S Ste 200, Moorhead, MN 56560 Phone: 218-331-4866 Fax: 218-331-4867 | |
Kyle Edward Sundberg, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 4th St S, Moorhead, MN 56560 Phone: 218-325-0069 | |
Joshua Boe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 | |
Christina J Fike, MA., LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2405 8th St S Ste 200, Moorhead, MN 56560 Phone: 218-331-4866 | |
Timothy Erickson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 891 Belsly Blvd, Moorhead, MN 56560 Phone: 218-287-4338 |