| Bushman Psychological Services Llc | |
|
14551 Judicial Rd Ste 100 Burnsville MN 55306-4991 | |
| (952) 898-5020 | |
| (952) 898-5858 |
| Full Name | Bushman Psychological Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 14551 Judicial Rd Ste 100, Burnsville, Minnesota |
| Authorized Official Name and Position | Kimberly Bushman (PRESIDENT) |
| Authorized Official Contact | 9528985020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bushman Psychological Services Llc 14551 Judicial Rd Ste 100 Burnsville MN 55306-4991 Ph: (952) 898-5020 | Bushman Psychological Services Llc 14551 Judicial Rd Ste 100 Burnsville MN 55306-4991 Ph: (952) 898-5020 |
| NPI Number | 1861580607 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 04/05/2018 |
| Medicare PECOS PAC ID | 8820994668 |
|---|---|
| Medicare Enrollment ID | O20031211000284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861580607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LP3946 (Minnesota) | Primary |
| Provider Name | Kimberly K Bushman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982783221 PECOS PAC ID: 8921904772 Enrollment ID: I20031212000210 |
| Provider Name | Gary L Blount |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326008442 PECOS PAC ID: 2365420924 Enrollment ID: I20040709001086 |
| Provider Name | Jennifer L Schuette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265503502 PECOS PAC ID: 0143320374 Enrollment ID: I20070717000298 |
| Provider Name | Laurie B Mueller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376728592 PECOS PAC ID: 2264515725 Enrollment ID: I20080207000393 |
| Provider Name | Sara Heit |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1326297508 PECOS PAC ID: 0749458677 Enrollment ID: I20110720000782 |
| Provider Name | Elizabeth L Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487998977 PECOS PAC ID: 3779708664 Enrollment ID: I20140709001455 |
| Provider Name | Rebecca L Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851708259 PECOS PAC ID: 9032331269 Enrollment ID: I20141104000495 |
| Provider Name | Nancy P Rich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124338728 PECOS PAC ID: 1052533916 Enrollment ID: I20141107001271 |
| Provider Name | Heather A Killeen-bode |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417192998 PECOS PAC ID: 4789909359 Enrollment ID: I20150203001045 |
| Provider Name | Jessica Bleninger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821469594 PECOS PAC ID: 2961712773 Enrollment ID: I20151106001779 |
| Provider Name | Kendra Spielman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477083228 PECOS PAC ID: 4284983586 Enrollment ID: I20180820003221 |
| Provider Name | Erica M Schultz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174998512 PECOS PAC ID: 9830434091 Enrollment ID: I20181218000212 |
| Provider Name | Sarah Mangas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134792468 PECOS PAC ID: 8022415322 Enrollment ID: I20210929003195 |
| Provider Name | Mary C Schoettle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972070860 PECOS PAC ID: 1850784281 Enrollment ID: I20220208001811 |
| Provider Name | John Rigsby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609534239 PECOS PAC ID: 1456794056 Enrollment ID: I20240212000875 |
| Provider Name | Laura Hannemann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588186613 PECOS PAC ID: 1850730540 Enrollment ID: I20240415000858 |
| Provider Name | Lisa Stevenson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366737520 PECOS PAC ID: 2860831211 Enrollment ID: I20240417003260 |
| Provider Name | Janene Regier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659936458 PECOS PAC ID: 6103267638 Enrollment ID: I20240514004132 |
| Provider Name | Elizabeth Gockowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336727064 PECOS PAC ID: 8921540980 Enrollment ID: I20240605001729 |
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