Associated Clinic Of Psychology Inc - Medicare Mental Health Clinic in St Louis Park, MN

Associated Clinic Of Psychology Inc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in St Louis Park, Minnesota. The current practice location for Associated Clinic Of Psychology Inc is 4027 County Road 25, St Louis Park, Minnesota. For appointments, you can reach them via phone at (612) 925-6033. The mailing address for Associated Clinic Of Psychology Inc is 4240 Park Glen Rd, St Louis Park, Minnesota and phone number is (612) 925-6033.

Associated Clinic Of Psychology Inc is licensed to practice in Minnesota (license number 811029-1-MHC). The clinic also participates in the medicare program and its NPI number is 1588741292. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (612) 925-6033.

Contact Information

Associated Clinic Of Psychology Inc
4027 County Road 25
St Louis Park
MN 55416
(612) 925-6033
(612) 925-8496

Map and Direction


Mental Health Clinic Profile

Full NameAssociated Clinic Of Psychology Inc
SpecialityClinic/Center
Location4027 County Road 25, St Louis Park, Minnesota
Authorized Official Name and PositionJohn E Brose (CEO)
Authorized Official Contact6129256033
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Associated Clinic Of Psychology Inc
4240 Park Glen Rd
St Louis Park
MN 55416-4758

Ph: (612) 925-6033
Associated Clinic Of Psychology Inc
4027 County Road 25
St Louis Park
MN 55416

Ph: (612) 925-6033

NPI Details:

NPI Number1588741292
Provider Enumeration Date11/01/2006
Last Update Date09/06/2018

Medicare PECOS Information:

Medicare PECOS PAC ID0749171320
Medicare Enrollment IDO20040323000833

Medical Identifiers

Medical identifiers for Associated Clinic Of Psychology Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588741292NPI-NPPES
CT0661OtherMNRAILROAD MEDICARE
3920OtherMNHEALTHPARTNERS
277723100MedicaidMN
475-94ASOtherMNBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) 811029-1-MHC (Minnesota)Primary
261QM0850XClinic/center - Adult Mental Health 811029-1-MHC (Minnesota)Secondary
261QM0855XClinic/center - Adolescent And Children Mental Health 811029-1-MHC (Minnesota)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Associated Clinic Of Psychology Inc acts as a billing entity for following providers:
Provider NameKristin M Schmidt Shay
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1740362300
PECOS PAC ID: 4789582339
Enrollment ID: I20031222000144
Provider NameDean K Knudson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1215980008
PECOS PAC ID: 6204815335
Enrollment ID: I20040714000362
Provider NameNatalie A Rosen
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1023157492
PECOS PAC ID: 2567441413
Enrollment ID: I20040715000461
Provider NamePaul A Ekberg
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1477531960
PECOS PAC ID: 4587638952
Enrollment ID: I20040823000117
Provider NameSushila N Mohan
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1033171533
PECOS PAC ID: 6002880473
Enrollment ID: I20040823000139
Provider NameDustin J Warner
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1437227949
PECOS PAC ID: 9537122197
Enrollment ID: I20041105000171
Provider NameJoan M Najbar
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1932252863
PECOS PAC ID: 3476519190
Enrollment ID: I20041204000205
Provider NameMelina V Simonson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1649362997
PECOS PAC ID: 5294780888
Enrollment ID: I20050316000725
Provider NameAli Ebrahimi
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1619048907
PECOS PAC ID: 7719934439
Enrollment ID: I20050405000988
Provider NameMichele F Dodds
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1396935219
PECOS PAC ID: 4688612427
Enrollment ID: I20050421000611
Provider NameAlford S Karayusuf
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1811063654
PECOS PAC ID: 9335181551
Enrollment ID: I20050527000445
Provider NameNicole L Larson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720048317
PECOS PAC ID: 0547291569
Enrollment ID: I20050829000876
Provider NameBrownell E Mack
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1023095627
PECOS PAC ID: 3274557277
Enrollment ID: I20060117001091
Provider NameFloyd O Anderson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1467421768
PECOS PAC ID: 0648285122
Enrollment ID: I20060221000238
Provider NameCatherine R Johnson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1457381055
PECOS PAC ID: 4789697483
Enrollment ID: I20060725000320
Provider NameCaroline Schultz
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1457441818
PECOS PAC ID: 6305845603
Enrollment ID: I20061214000384
Provider NameLori K Myren Manbeck
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1275673675
PECOS PAC ID: 5698877165
Enrollment ID: I20070301000511
Provider NameGregg A Riley
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1073681649
PECOS PAC ID: 0244337525
Enrollment ID: I20070522000063
Provider NameReiko Tanaka
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1659582526
PECOS PAC ID: 9638277064
Enrollment ID: I20070608000501
Provider NameMary Louise A Ramirez
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1295877009
PECOS PAC ID: 0648363325
Enrollment ID: I20070911000871
Provider NameDavid A Schmitt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1982702924
PECOS PAC ID: 9739277468
Enrollment ID: I20071114000224
Provider NameJoseph A Erickson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1881765097
PECOS PAC ID: 4284715046
Enrollment ID: I20080117000534
Provider NameKimberly J Oftedahl-brooks
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1356467856
PECOS PAC ID: 5092890103
Enrollment ID: I20080313000633
Provider NameShelley L Pucci
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1154593861
PECOS PAC ID: 7416036504
Enrollment ID: I20080430000530
Provider NameHeidi Hathaway
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1780755256
PECOS PAC ID: 6204902240
Enrollment ID: I20080827000592
Provider NameBeth A Gourley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619120870
PECOS PAC ID: 2365507803
Enrollment ID: I20090217000080
Provider NameJennifer M Wolfe
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1134371321
PECOS PAC ID: 8224193602
Enrollment ID: I20090218000643
Provider NameMelinda K Fristedt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1730207150
PECOS PAC ID: 2466509187
Enrollment ID: I20090416000130
Provider NamePaul T Pawlicki
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1477791556
PECOS PAC ID: 9436208741
Enrollment ID: I20090515000403
Provider NameKimberly M Wolf
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1285725291
PECOS PAC ID: 1153399704
Enrollment ID: I20090626000360
Provider NameAmanda R Thooft
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1154556223
PECOS PAC ID: 6305987348
Enrollment ID: I20100112000858
Provider NameAndrew D Krueger
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1275769077
PECOS PAC ID: 8022152230
Enrollment ID: I20100225000249
Provider NameBethany J Mattson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1902027881
PECOS PAC ID: 7517098296
Enrollment ID: I20100624000033
Provider NamePatricia A Mosing
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1982714051
PECOS PAC ID: 2567593833
Enrollment ID: I20100630000406
Provider NameKristi L Johnson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1497071856
PECOS PAC ID: 4082747407
Enrollment ID: I20100804001211
Provider NameFrancis J Pasnecker
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1184726408
PECOS PAC ID: 2668596941
Enrollment ID: I20100824000989
Provider NameMichelle M Millenacker
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1386711729
PECOS PAC ID: 0446433395
Enrollment ID: I20110330000534
Provider NameDavid J Huberty
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1407915812
PECOS PAC ID: 0345423109
Enrollment ID: I20110331000870
Provider NameLeah A Jones
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194891135
PECOS PAC ID: 3971787110
Enrollment ID: I20110412000692
Provider NameJohn E Brose
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1871652263
PECOS PAC ID: 4587555164
Enrollment ID: I20110419000698
Provider NameMargaret M Brown
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1447535059
PECOS PAC ID: 8527235522
Enrollment ID: I20120113000671
Provider NameEmily Elizabeth Carlson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1588937627
PECOS PAC ID: 5890954788
Enrollment ID: I20120313000477
Provider NameThomas R White
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1518289859
PECOS PAC ID: 7416118815
Enrollment ID: I20120411000717
Provider NameMartha M Franke
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1316062276
PECOS PAC ID: 5991956377
Enrollment ID: I20121112000495
Provider NameAlison Spano Hernandez
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841541448
PECOS PAC ID: 5698927267
Enrollment ID: I20121205000185
Provider NameJames J Knipler
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1033458799
PECOS PAC ID: 3476708272
Enrollment ID: I20130228000179
Provider NameJustin J Miles
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1881984441
PECOS PAC ID: 1557516291
Enrollment ID: I20130301000168
Provider NameLana M Wolfe
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1659672418
PECOS PAC ID: 1052559630
Enrollment ID: I20130522000132
Provider NameSandra R Streitman
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1508988981
PECOS PAC ID: 8921240771
Enrollment ID: I20130807001057
Provider NameMuriel D Philipp
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1194167643
PECOS PAC ID: 9830324854
Enrollment ID: I20131029001665
Provider NameAlyson Mease Vanahn
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1205038387
PECOS PAC ID: 6204062896
Enrollment ID: I20131204002155
Provider NameCraig M Roelke
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1750722195
PECOS PAC ID: 6901033042
Enrollment ID: I20131216001457
Provider NameSheri L Rosencrantz
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1114343779
PECOS PAC ID: 0941433577
Enrollment ID: I20140505002181
Provider NameJennifer M Nash-wright
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1710062765
PECOS PAC ID: 5294782546
Enrollment ID: I20150113001116
Provider NameJennifer Petzel
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1760644371
PECOS PAC ID: 6305913872
Enrollment ID: I20150115001825
Provider NameLeeann Catherine Lewis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1578930293
PECOS PAC ID: 1254647522
Enrollment ID: I20150901001593
Provider NameLeah L Kaplan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1265892962
PECOS PAC ID: 9830496405
Enrollment ID: I20160325000017
Provider NameKiana W Joyner
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1750736708
PECOS PAC ID: 4789973025
Enrollment ID: I20160510001550
Provider NameSharon E Schultz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619014362
PECOS PAC ID: 3173574787
Enrollment ID: I20160516002390
Provider NameJulie A Blatz
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1619420817
PECOS PAC ID: 4880988153
Enrollment ID: I20160809001996
Provider NameMichelle E Jones
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1962850065
PECOS PAC ID: 4284929316
Enrollment ID: I20160829000126
Provider NameKaren L Helfand
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1477856045
PECOS PAC ID: 0244525376
Enrollment ID: I20160829000258
Provider NameNatalie A Tobeck
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1427415082
PECOS PAC ID: 1153617162
Enrollment ID: I20160901001944
Provider NameAriel D Brinson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1629526405
PECOS PAC ID: 5597052753
Enrollment ID: I20161003001128
Provider NameStephanie L Dibb
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1093160103
PECOS PAC ID: 3577845973
Enrollment ID: I20170119001708
Provider NameRobert J Hoppe
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1417366832
PECOS PAC ID: 1456634906
Enrollment ID: I20170208001545
Provider NameKatelin N Varnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235669490
PECOS PAC ID: 5294007928
Enrollment ID: I20170815004601
Provider NameErica L Stellick Woods
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1063935146
PECOS PAC ID: 6002188638
Enrollment ID: I20170817000123
Provider NameShannon K Stanton
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1902315096
PECOS PAC ID: 1456627793
Enrollment ID: I20171101000080
Provider NameRebekah J Elling
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700391034
PECOS PAC ID: 3678832847
Enrollment ID: I20180116000348
Provider NameFrederick William Houts
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1518152172
PECOS PAC ID: 7618161290
Enrollment ID: I20180416001493
Provider NameJerrion A Richardson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1225550791
PECOS PAC ID: 2668735879
Enrollment ID: I20180420000584
Provider NameBethany J Butler
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1245624568
PECOS PAC ID: 4789939901
Enrollment ID: I20180612001433
Provider NameEmma G Sutton
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1366874612
PECOS PAC ID: 7719233998
Enrollment ID: I20180629001847
Provider NameBrin A Bailey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1821563685
PECOS PAC ID: 1759635436
Enrollment ID: I20181115001426
Provider NameSandra L Forest
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1093285645
PECOS PAC ID: 3870838667
Enrollment ID: I20181226000984
Provider NameJames P Viken
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1699239434
PECOS PAC ID: 2466791660
Enrollment ID: I20190306001335
Provider NamePaul R Ellison
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326374117
PECOS PAC ID: 0749522563
Enrollment ID: I20190426001970
Provider NameAlicia M Newman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1609434547
PECOS PAC ID: 0345574992
Enrollment ID: I20190702000342
Provider NamePeggy Jackson Chun
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326601089
PECOS PAC ID: 4981930062
Enrollment ID: I20190726001875
Provider NamePatrick A Roberts
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1407332836
PECOS PAC ID: 9032542550
Enrollment ID: I20191227001929
Provider NameNatasha K Satre
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1962041590
PECOS PAC ID: 5890121909
Enrollment ID: I20200210001855
Provider NameJ N Capecchi-nguyen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1881213395
PECOS PAC ID: 0446681183
Enrollment ID: I20200512002689
Provider NameStacie L Darke
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1952551731
PECOS PAC ID: 8921429887
Enrollment ID: I20200601001531
Provider NameJennifer Evelyn Paine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851915086
PECOS PAC ID: 9739503319
Enrollment ID: I20200716001480
Provider NameSonia Nothmann
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1831638550
PECOS PAC ID: 1355767310
Enrollment ID: I20200820002727
Provider NameNancy J Olson-engebreth
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023503430
PECOS PAC ID: 8921427287
Enrollment ID: I20201006001610
Provider NameKaren H Butler
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1346384559
PECOS PAC ID: 3779995402
Enrollment ID: I20201222000156
Provider NamePamela A Krueger
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1982291167
PECOS PAC ID: 5890109623
Enrollment ID: I20210205001415
Provider NameDarcy D Winsor
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1306430897
PECOS PAC ID: 3971910894
Enrollment ID: I20210322000185
Provider NameDaniella M Rafnson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1295311512
PECOS PAC ID: 1355759986
Enrollment ID: I20210421000866
Provider NameFierra M Nussbaum
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1104393883
PECOS PAC ID: 2163831975
Enrollment ID: I20210507000890
Provider NameSandy M Mccracken-rootes
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1952982951
PECOS PAC ID: 2062811946
Enrollment ID: I20210526000276
Provider NameKendall A Monroe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356885644
PECOS PAC ID: 6406107796
Enrollment ID: I20210630002404
Provider NameElizabeth L Walker
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1417528258
PECOS PAC ID: 3779987300
Enrollment ID: I20210804002029
Provider NameMarni Jean Severson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1952077042
PECOS PAC ID: 2769889344
Enrollment ID: I20210923003676
Provider NameEmily Adrian
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1114680931
PECOS PAC ID: 0547659203
Enrollment ID: I20211118000512
Provider NamePeter Lynn
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1093486110
PECOS PAC ID: 3274924378
Enrollment ID: I20211228001885
Provider NameAmy Pickering
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1154743789
PECOS PAC ID: 6608269451
Enrollment ID: I20220131002134
Provider NameLisa M Twomey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1619638525
PECOS PAC ID: 1456744135
Enrollment ID: I20220201001158
Provider NameJason Edward Miller
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1073144788
PECOS PAC ID: 1254724420
Enrollment ID: I20220210002055
Provider NameCarol A Bauer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1407113129
PECOS PAC ID: 2961889423
Enrollment ID: I20220523001269
Provider NameBrenda M Frye
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1740410760
PECOS PAC ID: 4082099346
Enrollment ID: I20220922001948
Provider NameShannon J Lorenzen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1760102610
PECOS PAC ID: 5890171136
Enrollment ID: I20221010002845
Provider NameAlex J Hoyt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1003530734
PECOS PAC ID: 7012384662
Enrollment ID: I20221110001563
Provider NameNancy E Dager
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1972228955
PECOS PAC ID: 1557739885
Enrollment ID: I20221117002315
Provider NameEmily A Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578288320
PECOS PAC ID: 4082082060
Enrollment ID: I20221122003368
Provider NameElizabeth Baudhuin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710694286
PECOS PAC ID: 8022487818
Enrollment ID: I20221219000905
Provider NameAmy P Kuusisto-lathrop
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1275699381
PECOS PAC ID: 5193197143
Enrollment ID: I20230221000916
Provider NameLauren E Riegert
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1417655515
PECOS PAC ID: 7214301522
Enrollment ID: I20230327002950
Provider NameSierra N Carter
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1134815640
PECOS PAC ID: 5991161887
Enrollment ID: I20230518003046
Provider NameUfuoma P Otebele
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649961145
PECOS PAC ID: 0941668800
Enrollment ID: I20230626000244
Provider NameJackline M Moriasi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326761842
PECOS PAC ID: 7416329420
Enrollment ID: I20230802002019
Provider NameJennifer E Shriver
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1396428322
PECOS PAC ID: 0143684852
Enrollment ID: I20230914000240
Provider NameAislinn J Edwards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629851225
PECOS PAC ID: 4789039801
Enrollment ID: I20231010002616
Provider NameHillary J.a. Hercules
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992581755
PECOS PAC ID: 8729433446
Enrollment ID: I20231016001019
Provider NameYouhung Her-xiong
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1649822941
PECOS PAC ID: 3678921582
Enrollment ID: I20231201002110
Provider NameMagret I Dannenfeld
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1629201421
PECOS PAC ID: 5395198147
Enrollment ID: I20240128000154
Provider NameLeslie A Wise
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1013615145
PECOS PAC ID: 6901259787
Enrollment ID: I20240129000843
Provider NameAndrea M Yeager
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1205463668
PECOS PAC ID: 6507219383
Enrollment ID: I20240129000983
Provider NameJulie B Van Gundy
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1598439416
PECOS PAC ID: 3072966860
Enrollment ID: I20240129001248
Provider NameCraig S Clark
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1780165696
PECOS PAC ID: 7810340585
Enrollment ID: I20240129004443
Provider NameSarah J Najafalipour
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1013534817
PECOS PAC ID: 7214380906
Enrollment ID: I20240130000429
Provider NameGeorgiana Mcelwain
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1407528359
PECOS PAC ID: 6406209196
Enrollment ID: I20240130000706
Provider NameDana C Tran
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1316181845
PECOS PAC ID: 3779936471
Enrollment ID: I20240130000716
Provider NameWendi M Anderson
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1174815864
PECOS PAC ID: 3274986856
Enrollment ID: I20240131000224
Provider NameStanley B Thiele
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1851628341
PECOS PAC ID: 9133572746
Enrollment ID: I20240131001018
Provider NameGretchen L Bueide
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1730143306
PECOS PAC ID: 2567815186
Enrollment ID: I20240131001453
Provider NameKelly L Johnson
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1508081456
PECOS PAC ID: 8426401936
Enrollment ID: I20240131004724
Provider NameGregory M Milbrath
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1316538226
PECOS PAC ID: 3274986658
Enrollment ID: I20240201002523
Provider NameMegan A Larson
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1689352924
PECOS PAC ID: 5092168492
Enrollment ID: I20240201003249
Provider NameLisa J Lippold
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1306382007
PECOS PAC ID: 8224481536
Enrollment ID: I20240201003914
Provider NameJoel C Friesen
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1811056385
PECOS PAC ID: 3870936933
Enrollment ID: I20240206003435
Provider NameMitchell M Tavernier
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1205229358
PECOS PAC ID: 9436592110
Enrollment ID: I20240209001122
Provider NameAlexis M Owings
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1184312191
PECOS PAC ID: 6800239518
Enrollment ID: I20240209002271
Provider NameRebecca Gonsior
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1174303119
PECOS PAC ID: 9931542461
Enrollment ID: I20240212002061
Provider NameLynn E Penney
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1760923940
PECOS PAC ID: 2769826825
Enrollment ID: I20240216000115
Provider NameRebecca L Schema
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1053759175
PECOS PAC ID: 4587057674
Enrollment ID: I20240221000048
Provider NameMaurika S Hickman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376313700
PECOS PAC ID: 5294170692
Enrollment ID: I20240226000875
Provider NameHannah E Dirkse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831969385
PECOS PAC ID: 7113362450
Enrollment ID: I20240227001642
Provider NameStephanie A Brace
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1902059751
PECOS PAC ID: 0840635975
Enrollment ID: I20240228004394
Provider NameRichard G Duchene
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1407394232
PECOS PAC ID: 2860837465
Enrollment ID: I20240305000598
Provider NameMadalyn L Cioci
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1497321772
PECOS PAC ID: 8426495110
Enrollment ID: I20240318000244
Provider NameAnita H Lucente
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346885845
PECOS PAC ID: 3577902667
Enrollment ID: I20240423001120
Provider NameUbah M Hirsi
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1194348599
PECOS PAC ID: 1355782905
Enrollment ID: I20240514000452

Reviews and Comments

Clinic/Center in St Louis Park, MN

Lee H Beecher Md Pa
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 6600 Excelsior Blvd, Creekside Bldg Suite 121, St Louis Park, MN 55426
Phone: 952-935-7116    Fax: 952-935-0687
Park Psychotherapy & Consulting Inc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4601 Excelsior Blvd, Suite 501, St Louis Park, MN 55416
Phone: 952-927-0170    Fax: 952-927-7027
Mason Moore Consultants
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 5009 Excelsior Blvd Ste 136, St Louis Park, MN 55416
Phone: 952-925-5343    
Dennis Philander, Md, Pa
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 5775 Wayzata Blvd, Suite 700, St Louis Park, MN 55416
Phone: 612-314-8072    Fax: 612-314-8072
Groves Academy
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3200 Highway 100 S, St Louis Park, MN 55416
Phone: 952-920-6377    Fax: 952-920-2068
Mcgovern Psychotherapy, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3340 Republic Ave Ste 120, St Louis Park, MN 55426
Phone: 612-564-8897    
Polaris Autism Center
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1650 W End Blvd Ste 100, St Louis Park, MN 55416
Phone: 952-228-1299    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.