Olivia Ness, | |
4100 Berkshire Ln N Unit 250, Plymouth, MN 55446-3813 | |
(612) 223-8898 | |
Not Available |
Full Name | Olivia Ness |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 4100 Berkshire Ln N Unit 250, Plymouth, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992463475 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | CC4225 (Minnesota) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
Entity Name | Care Clinics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851716245 PECOS PAC ID: 7517181266 Enrollment ID: O20140619000479 |
Mailing Address | Practice Location Address |
---|---|
Olivia Ness, 7601 Wayzata Blvd, St Louis Park, MN 55426-1623 Ph: (612) 473-0782 | Olivia Ness, 4100 Berkshire Ln N Unit 250, Plymouth, MN 55446-3813 Ph: (612) 223-8898 |
Jesse Inderlee, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13895 Industrial Park Blvd, Plymouth, MN 55441 Phone: 763-559-5677 | |
Lauris J Prinsen, L.A.D.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12805 Highway 55, Suite 211, Plymouth, MN 55441 Phone: 763-550-9005 Fax: 763-559-2118 | |
Jessica Sklar, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19095 51st Pl N, Plymouth, MN 55446 Phone: 952-212-1330 | |
Luke Morken, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10000 Hwy 55 Ste 300, Plymouth, MN 55441 Phone: 763-412-0722 | |
Emily Cross, MA, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Forestview Ln N, Plymouth, MN 55441 Phone: 763-546-8008 | |
Mrs. Melody Joy Richards, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13210 45th Ave North, Plymouth, MN 55442 Phone: 612-616-0224 Fax: 612-616-0224 | |
Sada Kathryn Puckett, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2415 Annapolis Ln N Ste 130, Plymouth, MN 55441 Phone: 763-220-0218 |