Jillian Marie Ellingson, LPCC | |
2649 Park Ave, Minneapolis, MN 55407-1006 | |
(612) 676-1604 | |
(612) 379-8235 |
Full Name | Jillian Marie Ellingson |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2649 Park Ave, Minneapolis, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891027454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | CC00097 (Minnesota) | Primary |
Entity Name | St Croix Psychiatric Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881849586 PECOS PAC ID: 9335288786 Enrollment ID: O20091125000166 |
Mailing Address | Practice Location Address |
---|---|
Jillian Marie Ellingson, LPCC 7066 Stillwater Blvd N, Oakdale, MN 55128-3937 Ph: (612) 676-1604 | Jillian Marie Ellingson, LPCC 2649 Park Ave, Minneapolis, MN 55407-1006 Ph: (612) 676-1604 |
Nelson Perez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 E Lake St, Minneapolis, MN 55407 Phone: 612-746-3500 Fax: 612-871-1058 | |
Daniel James Madsen, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 510 1st Ave N Ste 601, Minneapolis, MN 55403 Phone: 612-367-6929 | |
Claire Marie Olson, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5812 Lyndale Ave S, Minneapolis, MN 55419 Phone: 612-243-4108 Fax: 612-869-0313 | |
Luke Yost, Counselor Medicare: Medicare Enrolled Practice Location: 621 W Lake St, Minneapolis, MN 55408 Phone: 507-530-5507 | |
Mrs. Carmody Alice Sime, LPCC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-432-2008 | |
Heather Grovum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 W 48th St, Minneapolis, MN 55419 Phone: 701-740-4783 | |
Sumaya Yusuf, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3300 5th St Ne Ste 201, Minneapolis, MN 55418 Phone: 651-855-8209 |