Tara M Bauman, LADC LGSW | |
15320 Minnetonka Blvd #200, Minnetonka, MN 55345 | |
(952) 932-7277 | |
(952) 932-9827 |
Full Name | Tara M Bauman |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 19 Years |
Location | 15320 Minnetonka Blvd #200, Minnetonka, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649311150 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 302123 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Innovative Psychological Consultants, Llc | 3678596285 | 13 |
Entity Name | Innovative Psychological Consultants, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942221080 PECOS PAC ID: 3678596285 Enrollment ID: O20060110000633 |
Mailing Address | Practice Location Address |
---|---|
Tara M Bauman, LADC LGSW 15320 Minnetonka Blvd #200, Minnetonka, MN 55345 Ph: (952) 932-7277 | Tara M Bauman, LADC LGSW 15320 Minnetonka Blvd #200, Minnetonka, MN 55345 Ph: (952) 932-7277 |
James Patrick Mcenroe, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11900 Wayzata Blvd Ste 100, Minnetonka, MN 55305 Phone: 612-454-2412 Fax: 952-546-1683 | |
Michelle Carey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10101 Bren Rd E Unit 414, Minnetonka, MN 55343 Phone: 763-242-1659 | |
Jamie L.k. Rohwer, L.P.C.C. Counselor Medicare: Medicare Enrolled Practice Location: 5125 County Road 101, Suite 300, Minnetonka, MN 55345 Phone: 952-932-7277 Fax: 952-932-9827 | |
Jordan Nielsen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 Carlson Pkwy Apt 105, Minnetonka, MN 55305 Phone: 763-744-7359 | |
Meghan Elizabeth Hof, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3395 Plymouth Rd, Minnetonka, MN 55305 Phone: 952-939-0396 | |
Charell Dutton, Counselor Medicare: Medicare Enrolled Practice Location: 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305 Phone: 952-206-2040 | |
Jennifer Petzoldt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5860 Baker Rd, Minnetonka, MN 55345 Phone: 612-759-2697 |