Katie Beedle, | |
11870 Ulysses St Ne Ste 200, Blaine, MN 55434-4193 | |
(763) 482-9598 | |
Not Available |
Full Name | Katie Beedle |
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Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 11870 Ulysses St Ne Ste 200, 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 |
---|---|---|---|
1912504432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 2083 (Minnesota) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 304237 (Minnesota) | Primary |
Entity Name | Rum River Counseling, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073578472 PECOS PAC ID: 0941661482 Enrollment ID: O20230801001915 |
Mailing Address | Practice Location Address |
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Katie Beedle, 2118 Blaisdell Ave, Minneapolis, MN 55404-2415 Ph: (612) 872-0727 | Katie Beedle, 11870 Ulysses St Ne Ste 200, Blaine, MN 55434-4193 Ph: (763) 482-9598 |
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 | |
Alexandra Zickermann, Counselor Medicare: Medicare Enrolled 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 | |
Maryan Warsame, Counselor Medicare: Not Enrolled in Medicare Practice Location: 641 89th Ave Ne, Blaine, MN 55434 Phone: 703-389-7174 | |
Mrs. Lisa Cassman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12527 Central Ave Ne # 146, Blaine, MN 55434 Phone: 218-252-0233 | |
Jessica Groff, Counselor Medicare: Medicare Enrolled Practice Location: 11331 Jefferson St Ne, Blaine, MN 55434 Phone: 952-201-7324 |