Jessica Groff, | |
11331 Jefferson St Ne, Blaine, MN 55434-1802 | |
(952) 201-7324 | |
Not Available |
Full Name | Jessica Groff |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 11331 Jefferson St Ne, Blaine, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306293816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | CC01216 (Minnesota) | Primary |
Entity Name | Parker Collins Family Mental Health Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487927067 PECOS PAC ID: 8325338031 Enrollment ID: O20160609000216 |
Mailing Address | Practice Location Address |
---|---|
Jessica Groff, 701 Decatur Ave N, Ste 109, Golden Valley, MN 55427-4367 Ph: (763) 746-2400 | Jessica Groff, 11331 Jefferson St Ne, Blaine, MN 55434-1802 Ph: (952) 201-7324 |
Olivia Marie Walls, MA, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4255 Pheasant Ridge Dr Ne Ste 412, Blaine, MN 55449 Phone: 763-703-3754 | |
Mary Keller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10729 Town Square Dr Ne Ste 120, Blaine, MN 55449 Phone: 763-343-9010 | |
Jennifer Allyn Yang Kyung Kim-ardakani, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4255 Pheasant Ridge Dr Ne Ste 412, Blaine, MN 55449 Phone: 763-703-3754 | |
Alexandra Zickermann, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9298 Central Ave Ne Ste 310, Blaine, MN 55434 Phone: 612-437-0636 | |
Jennifer Mely, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8525 Davenport St Ne, Blaine, MN 55449 Phone: 763-234-2818 | |
Mrs. Lisa Cassman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12527 Central Ave Ne # 146, Blaine, MN 55434 Phone: 218-252-0233 |