Loren Bergstedt, LPC, LADC | |
11141 Zealand Ave N, Champlin, MN 55316 | |
(651) 769-7607 | |
(763) 951-3097 |
Full Name | Loren Bergstedt |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 11141 Zealand Ave N, Champlin, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538570726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 303764 (Minnesota) | Secondary |
101YP2500X | Counselor - Professional | CC00846 (Minnesota) | Primary |
Entity Name | Beacon Therapy Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407084031 PECOS PAC ID: 4284887472 Enrollment ID: O20130122000412 |
Mailing Address | Practice Location Address |
---|---|
Loren Bergstedt, LPC, LADC 2807 Brookdale Dr, Brooklyn Park, MN 55444-1844 Ph: (651) 348-5614 | Loren Bergstedt, LPC, LADC 11141 Zealand Ave N, Champlin, MN 55316 Ph: (651) 769-7607 |
Nicole Anne Koch, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11117 Zealand Ave N, Champlin, MN 55316 Phone: 763-746-0842 | |
Mrs. Shannon Lee Royer, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 11141 Zealand Ave N, Champlin, MN 55316 Phone: 763-670-6050 | |
Lindsay Rebecca Noreen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11141 Zealand Ave N, Champlin, MN 55316 Phone: 612-202-5959 | |
Gretchen Renee Hubble, M.A., LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 11116 Zealand Ave N Ste 117, Champlin, MN 55316 Phone: 763-746-0844 Fax: 763-746-0843 | |
Karissa Joy Rooney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11141 Zealand Ave N, Champlin, MN 55316 Phone: 763-951-3091 Fax: 763-951-3097 | |
Mr. Kenneth George Reiners, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 11330 Rosemill Ln, Champlin, MN 55316 Phone: 763-323-2906 Fax: 763-576-1731 | |
Ms. Laura Joy Wevers, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 11108 Zealand Ave N, Suite 103, Champlin, MN 55316 Phone: 651-726-4940 |