| Canvas Health, Inc. | |
|
7066 Stillwater Blvd N Oakdale MN 55128-3937 | |
| (651) 777-5222 | |
| (651) 251-5111 |
| Full Name | Canvas Health, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 7066 Stillwater Blvd N, Oakdale, Minnesota |
| Authorized Official Name and Position | Khu Thao (COO) |
| Authorized Official Contact | 6512515042 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Canvas Health, Inc. 7066 Stillwater Blvd N Oakdale MN 55128-3937 Ph: (651) 777-5222 | Canvas Health, Inc. 7066 Stillwater Blvd N Oakdale MN 55128-3937 Ph: (651) 777-5222 |
| NPI Number | 1922051325 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 12/27/2023 |
| Certification Date | 12/27/2023 |
| Medicare PECOS PAC ID | 8729073978 |
|---|---|
| Medicare Enrollment ID | O20040416001178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922051325 | NPI | - | NPPES |
| 56706HU | Other | MN | BLUE CROSS BLUE SHIELD |
| 313930 | Other | MN | VALUE OPTIONS |
| 8461062 | Other | MN | UNITED BEHAVIORAL HEALTH |
| 106221 | Other | MN | PMAP U-CARE |
| 1029858 | Other | MN | PREFERRED ONE |
| 7948557000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Minnesota) | Primary |
| Provider Name | Gloria F Cantor |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1114990066 PECOS PAC ID: 2365426897 Enrollment ID: I20040614001216 |
| Provider Name | Linda D Stenstadvold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265812317 PECOS PAC ID: 1254303001 Enrollment ID: I20040811000845 |
| Provider Name | Sheri Arnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710367958 PECOS PAC ID: 4587627500 Enrollment ID: I20041110000252 |
| Provider Name | Stephanie Rae Forness |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275545527 PECOS PAC ID: 1052361680 Enrollment ID: I20050131000940 |
| Provider Name | Jessica W Torrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912929340 PECOS PAC ID: 8426076605 Enrollment ID: I20051107000098 |
| Provider Name | James V Wojcik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093738890 PECOS PAC ID: 3274533575 Enrollment ID: I20070111000108 |
| Provider Name | Jay L Theisen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588627889 PECOS PAC ID: 8820192990 Enrollment ID: I20070329000154 |
| Provider Name | Keara P Nadeau-grandy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760689822 PECOS PAC ID: 9335238468 Enrollment ID: I20071127000780 |
| Provider Name | Rori J Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861531998 PECOS PAC ID: 1658460878 Enrollment ID: I20071211000171 |
| Provider Name | Deborah A Hesli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326237751 PECOS PAC ID: 3971682758 Enrollment ID: I20080505000691 |
| Provider Name | Milos Zivkovic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881712693 PECOS PAC ID: 1658446034 Enrollment ID: I20080819000894 |
| Provider Name | Daniel A Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619070620 PECOS PAC ID: 2961577382 Enrollment ID: I20080820000272 |
| Provider Name | Kerry M Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083949986 PECOS PAC ID: 3870635386 Enrollment ID: I20100121000740 |
| Provider Name | Andrew D Krueger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275769077 PECOS PAC ID: 8022152230 Enrollment ID: I20100225000249 |
| Provider Name | Emilia Godinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972502045 PECOS PAC ID: 4385773977 Enrollment ID: I20100519000769 |
| Provider Name | Elena J Rosas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336319722 PECOS PAC ID: 4789878232 Enrollment ID: I20101028001561 |
| Provider Name | Rebecca K Martin-facer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427370691 PECOS PAC ID: 0446438493 Enrollment ID: I20110622000712 |
| Provider Name | Kelly A Treanor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508159997 PECOS PAC ID: 2961671367 Enrollment ID: I20110801000417 |
| Provider Name | Heather M Demko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578851895 PECOS PAC ID: 6204008741 Enrollment ID: I20111005000887 |
| Provider Name | Sean W Mcgee |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1265705701 PECOS PAC ID: 5698939635 Enrollment ID: I20120604000333 |
| Provider Name | Jordan C Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295170553 PECOS PAC ID: 0244471977 Enrollment ID: I20130723000735 |
| Provider Name | James C Van Doren |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114018298 PECOS PAC ID: 4183645468 Enrollment ID: I20130812000042 |
| Provider Name | Melissa Maccafferty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316201791 PECOS PAC ID: 5395970511 Enrollment ID: I20131024000642 |
| Provider Name | Katherine M Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851726293 PECOS PAC ID: 9234365719 Enrollment ID: I20131112001548 |
| Provider Name | Tanya L Holthus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356779896 PECOS PAC ID: 9436386885 Enrollment ID: I20131211000709 |
| Provider Name | Vanessa M Heit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205262821 PECOS PAC ID: 6103041538 Enrollment ID: I20140627000492 |
| Provider Name | Jayne E Conley-braun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316349020 PECOS PAC ID: 9830226364 Enrollment ID: I20141027000990 |
| Provider Name | Lacey M Hammond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720461064 PECOS PAC ID: 6608181086 Enrollment ID: I20150813011110 |
| Provider Name | Cacy Miranda |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235535444 PECOS PAC ID: 1153621917 Enrollment ID: I20151130001305 |
| Provider Name | Holly E Gist-richer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275906091 PECOS PAC ID: 6507168887 Enrollment ID: I20160104000729 |
| Provider Name | Janica Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770948028 PECOS PAC ID: 9537462734 Enrollment ID: I20160121002129 |
| Provider Name | Jennifer E Milbrandt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851844401 PECOS PAC ID: 3476848409 Enrollment ID: I20160830000045 |
| Provider Name | Tina M Dince |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306398599 PECOS PAC ID: 5294014767 Enrollment ID: I20161128002058 |
| Provider Name | Erin A Moeller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235589797 PECOS PAC ID: 8820367220 Enrollment ID: I20170628000705 |
| Provider Name | Karen Jensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205192622 PECOS PAC ID: 5890059067 Enrollment ID: I20180516001680 |
| Provider Name | Melinda Anne Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740656289 PECOS PAC ID: 7810283678 Enrollment ID: I20180723000513 |
| Provider Name | Angela Gallagher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174006431 PECOS PAC ID: 9830442375 Enrollment ID: I20181030001783 |
| Provider Name | Coleen M Groen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598919573 PECOS PAC ID: 7517208259 Enrollment ID: I20190408000976 |
| Provider Name | Chris Heise |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952630477 PECOS PAC ID: 7719313071 Enrollment ID: I20200204002125 |
| Provider Name | Megan Robb |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457999500 PECOS PAC ID: 3678909603 Enrollment ID: I20200211000088 |
| Provider Name | Saydie Farmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962015644 PECOS PAC ID: 4587076849 Enrollment ID: I20201210002669 |
| Provider Name | Erin Hannan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245846260 PECOS PAC ID: 1557774882 Enrollment ID: I20210106001000 |
| Provider Name | Morgan Krause |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073118220 PECOS PAC ID: 1951716398 Enrollment ID: I20210217003081 |
| Provider Name | Nicole Winkleski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427648708 PECOS PAC ID: 8022424050 Enrollment ID: I20210317000264 |
| Provider Name | Ruth Marie Swartwood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992179501 PECOS PAC ID: 6709289051 Enrollment ID: I20210723000578 |
| Provider Name | Melanie M Niquette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689112781 PECOS PAC ID: 0345646410 Enrollment ID: I20210915001987 |
| Provider Name | Megan Pavek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124798103 PECOS PAC ID: 3870981616 Enrollment ID: I20211027000714 |
| Provider Name | Emma Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942879804 PECOS PAC ID: 2466840822 Enrollment ID: I20211104000596 |
| Provider Name | Elizabeth Ann Swope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023144664 PECOS PAC ID: 2466727896 Enrollment ID: I20211201002584 |
| Provider Name | Peter Lynn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093486110 PECOS PAC ID: 3274924378 Enrollment ID: I20211228001885 |
| Provider Name | Virginia Suarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427715093 PECOS PAC ID: 1850783242 Enrollment ID: I20220114001450 |
| Provider Name | Matthew Tyler Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487227229 PECOS PAC ID: 6800280975 Enrollment ID: I20220307001500 |
| Provider Name | Eileen Sowry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871049551 PECOS PAC ID: 5092100420 Enrollment ID: I20220321002196 |
| Provider Name | Ryan Goman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639606502 PECOS PAC ID: 9234525965 Enrollment ID: I20220406001470 |
| Provider Name | Morgan Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538400445 PECOS PAC ID: 3678870607 Enrollment ID: I20231027002932 |
| Provider Name | Benjamin R Eliason |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659418267 PECOS PAC ID: 4789764317 Enrollment ID: I20231212000483 |
| Provider Name | Meaghan Claire Puckett |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518485242 PECOS PAC ID: 8224488119 Enrollment ID: I20231218004082 |
| Provider Name | Jessica Kay Kisling |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073800637 PECOS PAC ID: 3971953761 Enrollment ID: I20231219003887 |
| Provider Name | Benjamin Mahmoud Rastegari |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649729492 PECOS PAC ID: 7911357603 Enrollment ID: I20231220003835 |
| Provider Name | Mary Mcnamara |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568950038 PECOS PAC ID: 3678923398 Enrollment ID: I20231221000735 |
| Provider Name | Kimberly Carter |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609256502 PECOS PAC ID: 9638529357 Enrollment ID: I20231221000853 |
| Provider Name | Holly Heaser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710523972 PECOS PAC ID: 4880041896 Enrollment ID: I20240105000115 |
| Provider Name | Tara Jeanne Burklund |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184354888 PECOS PAC ID: 6507218575 Enrollment ID: I20240116002485 |
| Provider Name | Scott H Burns |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215234661 PECOS PAC ID: 1052755345 Enrollment ID: I20240214002529 |
| Provider Name | Gretchen Phung |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992248231 PECOS PAC ID: 8527402585 Enrollment ID: I20240216004213 |
| Provider Name | Adam Palowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073081535 PECOS PAC ID: 3072958727 Enrollment ID: I20240304002614 |
| Provider Name | Ashlee Nicole Walker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417538661 PECOS PAC ID: 2062859077 Enrollment ID: I20240326004047 |
| Provider Name | Karen L King |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396841318 PECOS PAC ID: 3577904242 Enrollment ID: I20240513000833 |
| Provider Name | Tricia Anne Downing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154180180 PECOS PAC ID: 4587106364 Enrollment ID: I20240607002273 |
Flourish Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3503 Highpoint Dr N Ste 230, Oakdale, MN 55128 Phone: 612-295-5621 | |
Time To Talk - Therapy & Consulting Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7504 46th St N, Oakdale, MN 55128 Phone: 612-202-5761 | |
Warner Counseling Associates, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6230 10th St N Ste 310a, Oakdale, MN 55128 Phone: 651-925-6171 | |
Milestone Mental Health Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6230 10th St N Ste 120, Oakdale, MN 55128 Phone: 651-500-2389 Fax: 651-344-4375 | |
Lw Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3503 High Point Dr N, Bldg 3, Ste 230, Oakdale, MN 55128 Phone: 612-440-2939 | |
Solace Cove Corp. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6511 22nd St N, Oakdale, MN 55128 Phone: 952-649-0044 | |
Charles Kaltenberg L.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7200 Hudson Blvd N Ste 107c, Oakdale, MN 55128 Phone: 612-584-9071 |