Andrew Carson, MA | |
4100 Berkshire Ln N Ste 250, Plymouth, MN 55446-3813 | |
(612) 223-8898 | |
(833) 972-0904 |
Full Name | Andrew Carson |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 4100 Berkshire Ln N Ste 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 |
---|---|---|---|
1124624614 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 4464 (Minnesota) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Plymouth Psych Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003195942 PECOS PAC ID: 6800103490 Enrollment ID: O20150915000728 |
Mailing Address | Practice Location Address |
---|---|
Andrew Carson, MA 1601 4th Ave S, Buffalo, MN 55313-1283 Ph: (763) 245-2576 | Andrew Carson, MA 4100 Berkshire Ln N Ste 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 | |
Hailey Dahl, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3033 Campus Dr Ste E180, Plymouth, MN 55441 Phone: 952-835-2002 Fax: 651-383-4935 | |
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 |