| Care Clinics, Llc | |
|
7601 Wayzata Blvd St Louis Park MN 55426-1626 | |
| (612) 223-8898 | |
| (612) 223-8899 |
| Full Name | Care Clinics, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 7601 Wayzata Blvd, St Louis Park, Minnesota |
| Authorized Official Name and Position | Andrea Hutchinson (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 6122238898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Clinics, Llc 7601 Wayzata Blvd St Louis Park MN 55426-1626 Ph: (612) 223-8898 | Care Clinics, Llc 7601 Wayzata Blvd St Louis Park MN 55426-1626 Ph: (612) 223-8898 |
| NPI Number | 1851716245 |
|---|---|
| Provider Enumeration Date | 02/22/2014 |
| Last Update Date | 08/17/2021 |
| Certification Date | 08/17/2021 |
| Medicare PECOS PAC ID | 7517181266 |
|---|---|
| Medicare Enrollment ID | O20140619000479 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851716245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP5660 (Minnesota) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| Provider Name | Annette M Duerscherl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053645135 PECOS PAC ID: 6709047665 Enrollment ID: I20120419000795 |
| Provider Name | Andrea R Hutchinson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831430263 PECOS PAC ID: 1456575166 Enrollment ID: I20140620000512 |
| Provider Name | Crystal Shores |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023401452 PECOS PAC ID: 9830417237 Enrollment ID: I20150415001275 |
| Provider Name | Megan I Benefield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407193030 PECOS PAC ID: 4082933288 Enrollment ID: I20150511002041 |
| Provider Name | Sara J Prescher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669608246 PECOS PAC ID: 7214242189 Enrollment ID: I20150820012296 |
| Provider Name | Sarah K Sifers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659656031 PECOS PAC ID: 6406147008 Enrollment ID: I20160628002216 |
| Provider Name | Kristen L Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962955302 PECOS PAC ID: 4981962396 Enrollment ID: I20171212002638 |
| Provider Name | Jennifer Leigh Stoltenberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558736694 PECOS PAC ID: 7618213471 Enrollment ID: I20190115003180 |
| Provider Name | Kari S Duong-topp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689138901 PECOS PAC ID: 8921349432 Enrollment ID: I20190410002329 |
| Provider Name | Jamie L Cox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477948982 PECOS PAC ID: 8820325053 Enrollment ID: I20190812001809 |
| Provider Name | Christine Margaret Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033666417 PECOS PAC ID: 2567794035 Enrollment ID: I20191101002103 |
| Provider Name | Elizabeth Ryan Fenske |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447800800 PECOS PAC ID: 1658704440 Enrollment ID: I20191210000023 |
| Provider Name | Lisa Stepanov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508416215 PECOS PAC ID: 2567896780 Enrollment ID: I20191221000628 |
| Provider Name | Carla Cowan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598830705 PECOS PAC ID: 9234568254 Enrollment ID: I20200326001573 |
| Provider Name | Kierst Elizabeth Finsand |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992364079 PECOS PAC ID: 2365862158 Enrollment ID: I20201016000259 |
| Provider Name | Emmanuelle Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184200065 PECOS PAC ID: 7517366818 Enrollment ID: I20210518002085 |
| Provider Name | Mitchell Fuchs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174294201 PECOS PAC ID: 0547658130 Enrollment ID: I20211101002870 |
| Provider Name | Kristy Jean Danielson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396417705 PECOS PAC ID: 2163811902 Enrollment ID: I20211116001815 |
| Provider Name | Valerie Kaye Geisendorfer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740955368 PECOS PAC ID: 6406247352 Enrollment ID: I20220103001599 |
| Provider Name | Margot Dearborn Marsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093475923 PECOS PAC ID: 2961895644 Enrollment ID: I20220201000842 |
| Provider Name | Heidi Bausch-ryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194195248 PECOS PAC ID: 3870987852 Enrollment ID: I20220309000068 |
| Provider Name | Lauren Elizabeth Sobotta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316542707 PECOS PAC ID: 8325434285 Enrollment ID: I20220401002344 |
| Provider Name | Nichole Miner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134885734 PECOS PAC ID: 1759768369 Enrollment ID: I20220520001734 |
| Provider Name | Jaime Ascencio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972084226 PECOS PAC ID: 4284013145 Enrollment ID: I20220623000508 |
| Provider Name | Jennifer Rene Gozy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003141979 PECOS PAC ID: 8921489337 Enrollment ID: I20220718000178 |
| Provider Name | Michael Haggar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407574643 PECOS PAC ID: 5092184119 Enrollment ID: I20221213001365 |
| Provider Name | Margaret Boyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568199206 PECOS PAC ID: 9830560184 Enrollment ID: I20230124001369 |
| Provider Name | Brittney T Bredemus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316519614 PECOS PAC ID: 2769853910 Enrollment ID: I20230125003193 |
| Provider Name | Kirsten Sharp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497387542 PECOS PAC ID: 1658736251 Enrollment ID: I20230504001235 |
| Provider Name | Anna Marie Goldsmith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518543180 PECOS PAC ID: 4385001320 Enrollment ID: I20230606002156 |
| Provider Name | Talea M Plata |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720731524 PECOS PAC ID: 0547629792 Enrollment ID: I20230706000317 |
| Provider Name | Jennifer Lynn Apley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417660283 PECOS PAC ID: 4082077128 Enrollment ID: I20230823000515 |
| Provider Name | Abby Ruby Sala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154947216 PECOS PAC ID: 8123482197 Enrollment ID: I20230908001657 |
| Provider Name | Kelsey Stender |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952913014 PECOS PAC ID: 0547629966 Enrollment ID: I20230919003787 |
| Provider Name | Karen Rind-siegel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043898703 PECOS PAC ID: 5496109357 Enrollment ID: I20230926002264 |
| Provider Name | David Chan Yong Van Engen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255035143 PECOS PAC ID: 8123474392 Enrollment ID: I20231024002199 |
| Provider Name | Glenna Colerider-krugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033862651 PECOS PAC ID: 8729437660 Enrollment ID: I20231218001396 |
| Provider Name | Sarah Sandvik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588363105 PECOS PAC ID: 5395195267 Enrollment ID: I20231219002744 |
| Provider Name | Erin Elizabeth Appel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609257112 PECOS PAC ID: 2264883818 Enrollment ID: I20240108003953 |
| Provider Name | Jacqueline Ann O'gara-jung |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265035430 PECOS PAC ID: 6406207059 Enrollment ID: I20240108004095 |
| Provider Name | Abbey Pauline Giller Rathe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700558277 PECOS PAC ID: 9638520208 Enrollment ID: I20240108004648 |
| Provider Name | Karen Mountainjohnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558829838 PECOS PAC ID: 5991156572 Enrollment ID: I20240108005114 |
| Provider Name | Laura Mae Tompkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982152849 PECOS PAC ID: 0345691952 Enrollment ID: I20240109000135 |
| Provider Name | Marinda S Kimmel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346508009 PECOS PAC ID: 0244681724 Enrollment ID: I20240109002845 |
| Provider Name | Tonya De Toutge |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780348896 PECOS PAC ID: 3870944358 Enrollment ID: I20240109002895 |
| Provider Name | Nicole Olsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184158131 PECOS PAC ID: 6305297888 Enrollment ID: I20240109002987 |
| Provider Name | Tracy Lynn Hess |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083216675 PECOS PAC ID: 9335590827 Enrollment ID: I20240109003240 |
| Provider Name | Krista Weber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235902651 PECOS PAC ID: 8426409814 Enrollment ID: I20240110002531 |
| Provider Name | Rondilienne Nichole Chastanet |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073916417 PECOS PAC ID: 1658722053 Enrollment ID: I20240110002740 |
| Provider Name | Charlotte Dawn Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932606878 PECOS PAC ID: 9638520935 Enrollment ID: I20240111001603 |
| Provider Name | Andrew Phillip Shold |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780230789 PECOS PAC ID: 0446601686 Enrollment ID: I20240111003299 |
| Provider Name | David Adair |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508459462 PECOS PAC ID: 0547611634 Enrollment ID: I20240112003915 |
| Provider Name | Emily Zwirlein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962005124 PECOS PAC ID: 0143672253 Enrollment ID: I20240113000432 |
| Provider Name | Jill Marie Peterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508438235 PECOS PAC ID: 3577915685 Enrollment ID: I20240113000543 |
| Provider Name | Ha Phuong Ngoc Dufek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821611039 PECOS PAC ID: 1254783384 Enrollment ID: I20240115000049 |
| Provider Name | Molly Jockheck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760001614 PECOS PAC ID: 5496107542 Enrollment ID: I20240115000538 |
| Provider Name | Katelyn Thoresen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245823756 PECOS PAC ID: 5294187142 Enrollment ID: I20240117000811 |
| Provider Name | Daniel J Reif |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467724187 PECOS PAC ID: 8628420460 Enrollment ID: I20240117004160 |
| Provider Name | Samantha Monika Mitra |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871255182 PECOS PAC ID: 9931551660 Enrollment ID: I20240118002453 |
| Provider Name | Caroline Kelly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164916789 PECOS PAC ID: 2466804190 Enrollment ID: I20240118002511 |
| Provider Name | Lauren Louise Jasperson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033767249 PECOS PAC ID: 0648622282 Enrollment ID: I20240118003219 |
| Provider Name | Lisa Marie Myer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801546106 PECOS PAC ID: 7517319072 Enrollment ID: I20240119002586 |
| Provider Name | Holly Sayers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972148609 PECOS PAC ID: 5991157364 Enrollment ID: I20240122002189 |
| Provider Name | Emily Lathrop |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972372910 PECOS PAC ID: 6800248139 Enrollment ID: I20240122004523 |
| Provider Name | Olivia Ness |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992463475 PECOS PAC ID: 2860845070 Enrollment ID: I20240124001504 |
| Provider Name | Lori Ann Brown-de Alba |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033521372 PECOS PAC ID: 0749633741 Enrollment ID: I20240125003520 |
| Provider Name | Mindy Glover |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306494919 PECOS PAC ID: 4082067087 Enrollment ID: I20240125003616 |
| Provider Name | Kathleen Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558553636 PECOS PAC ID: 5799138418 Enrollment ID: I20240130001273 |
| Provider Name | Megan Milleson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740786011 PECOS PAC ID: 4082067566 Enrollment ID: I20240131003978 |
| Provider Name | Jaclyn Rachel Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447912316 PECOS PAC ID: 4587017942 Enrollment ID: I20240201001640 |
| Provider Name | Margaret Susan Eide Bremer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689216855 PECOS PAC ID: 4183077464 Enrollment ID: I20240202001831 |
| Provider Name | Julia Fry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275116006 PECOS PAC ID: 8224471206 Enrollment ID: I20240206004656 |
| Provider Name | Paige Carole Aljardat |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821667072 PECOS PAC ID: 5092158956 Enrollment ID: I20240207002233 |
| Provider Name | Melissa Kane |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609538628 PECOS PAC ID: 4587007216 Enrollment ID: I20240208004093 |
| Provider Name | Yun Yi Liu Xia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912500075 PECOS PAC ID: 5991148439 Enrollment ID: I20240212002251 |
| Provider Name | Travis Alan Nelsen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912398918 PECOS PAC ID: 7618310160 Enrollment ID: I20240212002635 |
| Provider Name | Bailey Fischer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639628597 PECOS PAC ID: 1759724248 Enrollment ID: I20240212003896 |
| Provider Name | Allison Burford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750872909 PECOS PAC ID: 7315380797 Enrollment ID: I20240213002914 |
| Provider Name | Bridget Eickhoff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861045437 PECOS PAC ID: 7416391883 Enrollment ID: I20240214001376 |
| Provider Name | Makenna Nosbusch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295270429 PECOS PAC ID: 7719321181 Enrollment ID: I20240214001574 |
| Provider Name | Chelsea Dick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952003972 PECOS PAC ID: 6709220189 Enrollment ID: I20240214001671 |
| Provider Name | Naomi E Schoenberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942975727 PECOS PAC ID: 3870937253 Enrollment ID: I20240214001725 |
| Provider Name | Ellie Remick Whiteaker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851019145 PECOS PAC ID: 6204270325 Enrollment ID: I20240216002124 |
| Provider Name | Justine Michael-gilbert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407511421 PECOS PAC ID: 7416391560 Enrollment ID: I20240216003246 |
| Provider Name | Sarah Erickson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730793472 PECOS PAC ID: 4981048675 Enrollment ID: I20240221002779 |
| Provider Name | Katie Immerfall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770052706 PECOS PAC ID: 2567807092 Enrollment ID: I20240223003068 |
| Provider Name | Ariel M Parry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932863032 PECOS PAC ID: 5395180723 Enrollment ID: I20240226001566 |
| Provider Name | Benjamin James Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689941122 PECOS PAC ID: 2365887643 Enrollment ID: I20240226003661 |
| Provider Name | Max Richard Stoltenberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184870610 PECOS PAC ID: 7315382504 Enrollment ID: I20240227003970 |
| Provider Name | Elaina E Kapuska |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487299491 PECOS PAC ID: 5597100586 Enrollment ID: I20240229002175 |
| Provider Name | Andrea Sunderman Edwards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891303772 PECOS PAC ID: 6800231804 Enrollment ID: I20240229002460 |
| Provider Name | Krysta Victoria Palmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275194391 PECOS PAC ID: 6800232232 Enrollment ID: I20240307003935 |
| Provider Name | Jamie L.k. Rohwer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043864838 PECOS PAC ID: 0547606261 Enrollment ID: I20240315001518 |
| Provider Name | Madeline A Metz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043915549 PECOS PAC ID: 8325484058 Enrollment ID: I20240315002063 |
| Provider Name | Sandra Fraser Maurer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164765301 PECOS PAC ID: 9436595113 Enrollment ID: I20240316000471 |
| Provider Name | Benjamin Dockter |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386169746 PECOS PAC ID: 8729426374 Enrollment ID: I20240402003420 |
| Provider Name | Kellie C Bernal Delgado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235804113 PECOS PAC ID: 9133567589 Enrollment ID: I20240403003465 |
| Provider Name | Taquoia Hammick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811566235 PECOS PAC ID: 6507205499 Enrollment ID: I20240411001432 |
| Provider Name | Cheryl Ann Louise Dewitt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528772845 PECOS PAC ID: 7911348602 Enrollment ID: I20240513001465 |
| Provider Name | Nathan Schrick |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700053345 PECOS PAC ID: 2264975697 Enrollment ID: I20240613003199 |
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 |