Thomas Keller, LPCC | |
615 1st Ave Ne Ste 310, Minneapolis, MN 55413-2419 | |
(612) 436-0295 | |
(612) 436-0163 |
Full Name | Thomas Keller |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 615 1st Ave Ne Ste 310, Minneapolis, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598268237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | CC01644 (Minnesota) | Primary |
Entity Name | Catalyst Mental Health, Gbc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134490147 PECOS PAC ID: 1355500752 Enrollment ID: O20120305000103 |
Mailing Address | Practice Location Address |
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Thomas Keller, LPCC 615 1st Ave Ne Ste 310, Minneapolis, MN 55413-2419 Ph: (612) 436-0295 | Thomas Keller, LPCC 615 1st Ave Ne Ste 310, Minneapolis, MN 55413-2419 Ph: (612) 436-0295 |
Nelson Perez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 E Lake St, Minneapolis, MN 55407 Phone: 612-746-3500 Fax: 612-871-1058 | |
Daniel James Madsen, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 510 1st Ave N Ste 601, Minneapolis, MN 55403 Phone: 612-367-6929 | |
Claire Marie Olson, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5812 Lyndale Ave S, Minneapolis, MN 55419 Phone: 612-243-4108 Fax: 612-869-0313 | |
Luke Yost, Counselor Medicare: Medicare Enrolled Practice Location: 621 W Lake St, Minneapolis, MN 55408 Phone: 507-530-5507 | |
Mrs. Carmody Alice Sime, LPCC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-432-2008 | |
Heather Grovum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 W 48th St, Minneapolis, MN 55419 Phone: 701-740-4783 | |
Sumaya Yusuf, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3300 5th St Ne Ste 201, Minneapolis, MN 55418 Phone: 651-855-8209 |