| Nicole Marie-ange Overby, LMFT, LADC | |
|
14040 Northdale Blvd Ste 100, Rogers, MN 55374-9612 | |
| (763) 488-4100 | |
| (763) 488-4105 |
| Full Name | Nicole Marie-ange Overby |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 14040 Northdale Blvd Ste 100, Rogers, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689184079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 304650 (Minnesota) | Secondary |
| 106H00000X | Marriage & Family Therapist | 3404 (Minnesota) | Primary |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Marie-ange Overby, LMFT, LADC 1160 Lake St N, Big Lake, MN 55309-9499 Ph: (320) 282-3528 | Nicole Marie-ange Overby, LMFT, LADC 14040 Northdale Blvd Ste 100, Rogers, MN 55374-9612 Ph: (763) 488-4100 |
Jodi Lynn Sims, MA LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 14115 James Rd Ste 305, Rogers, MN 55374 Phone: 763-575-8086 Fax: 320-774-0415 | |
Samantha Colai, LMFT, RPT, SEP Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 21307 John Milless Drive, Suite 106, Rogers, MN 55374 Phone: 612-406-4083 | |
Mrs. Courtnie Lee Thunberg, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 21395 John Milless Dr. #400, Rogers, MN 55374 Phone: 763-424-1888 Fax: 763-424-7288 | |
Paige Lehto, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 21000 Rogers Dr Ste 200, Rogers, MN 55374 Phone: 763-291-5505 Fax: 763-657-0819 | |
Calleen Sher, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 21370 John Milless Dr Ste 106, Rogers, MN 55374 Phone: 763-232-5879 | |
Mr. Kevin Jeffery Smith, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 21395 John Milless Dr. #400, Rogers, MN 55374 Phone: 763-424-1888 Fax: 763-424-7288 | |
Allison Johnson, MA LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 21370 John Milless Dr Ste 106, Rogers, MN 55374 Phone: 651-338-2757 |