| Cmmhc | |
|
1321 13th St N Saint Cloud MN 56303-2613 | |
| (320) 252-5010 | |
| (320) 203-1855 |
| Full Name | Cmmhc |
|---|---|
| Speciality | Counselor |
| Location | 1321 13th St N, Saint Cloud, Minnesota |
| Authorized Official Name and Position | David J. Baraga (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3202525010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmmhc 1321 13th St N Saint Cloud MN 56303-2613 Ph: (320) 252-5010 | Cmmhc 1321 13th St N Saint Cloud MN 56303-2613 Ph: (320) 252-5010 |
| NPI Number | 1831177195 |
|---|---|
| Provider Enumeration Date | 01/06/2006 |
| Last Update Date | 05/27/2009 |
| Medicare PECOS PAC ID | 4486555877 |
|---|---|
| Medicare Enrollment ID | O20040119000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831177195 | NPI | - | NPPES |
| 664725100 | Medicaid | MN | |
| 233650200 | Medicaid | MN | |
| 492319700 | Medicaid | MN | |
| 024755301 | Medicaid | MN | |
| 127824000 | Medicaid | MN | |
| 742698400 | Medicaid | MN | |
| 676555600 | Medicaid | MN | |
| 764442600 | Medicaid | MN | |
| 024755300 | Medicaid | MN |
| Provider Name | Fortunata G Milano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275569428 PECOS PAC ID: 9032198023 Enrollment ID: I20040714000907 |
| Provider Name | Nicole E Heffron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831102839 PECOS PAC ID: 9638134927 Enrollment ID: I20041129000535 |
| Provider Name | Kent Charles Davis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568406387 PECOS PAC ID: 5991711855 Enrollment ID: I20060301000574 |
| Provider Name | Kristi R Sandin-rieck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326076050 PECOS PAC ID: 3476550211 Enrollment ID: I20061108000547 |
| Provider Name | Stephanie E Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003092651 PECOS PAC ID: 0941383541 Enrollment ID: I20080205000575 |
| Provider Name | Richard L Giovannetti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225074339 PECOS PAC ID: 7517159635 Enrollment ID: I20101007001137 |
| Provider Name | Pamela J Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538169628 PECOS PAC ID: 2668654138 Enrollment ID: I20110305000065 |
| Provider Name | Steven V Loos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104115955 PECOS PAC ID: 5698950707 Enrollment ID: I20110504000390 |
| Provider Name | Gina Marie Theisz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407158496 PECOS PAC ID: 2365628534 Enrollment ID: I20110524000419 |
| Provider Name | Roger Handrich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487690426 PECOS PAC ID: 9436336658 Enrollment ID: I20110615000352 |
| Provider Name | Mark C Bordewick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982648887 PECOS PAC ID: 0446438063 Enrollment ID: I20110630000601 |
| Provider Name | Janis A Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215236302 PECOS PAC ID: 6103092705 Enrollment ID: I20120103000649 |
| Provider Name | Teresa M Mcnamee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649531955 PECOS PAC ID: 3173773629 Enrollment ID: I20121018000838 |
| Provider Name | Sherri L Eichers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003116047 PECOS PAC ID: 5799930228 Enrollment ID: I20130306000341 |
| Provider Name | Liberty A Eberly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962698043 PECOS PAC ID: 7517013824 Enrollment ID: I20141106002579 |
| Provider Name | Laura Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558765065 PECOS PAC ID: 7214257641 Enrollment ID: I20150526001465 |
| Provider Name | Sadaf Islam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760626550 PECOS PAC ID: 7719107655 Enrollment ID: I20150618002061 |
| Provider Name | Tracy Hinz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538153226 PECOS PAC ID: 0345546016 Enrollment ID: I20160307000026 |
| Provider Name | Michael Bryant Thompson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457490849 PECOS PAC ID: 6901955210 Enrollment ID: I20160610000740 |
| Provider Name | April Ann Hegdahl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720597487 PECOS PAC ID: 4789932823 Enrollment ID: I20180806001127 |
| Provider Name | Danielle Sarah Brant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881911949 PECOS PAC ID: 2466701180 Enrollment ID: I20180814000914 |
| Provider Name | Chad Randal Vickers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780753681 PECOS PAC ID: 2567555311 Enrollment ID: I20190220000002 |
| Provider Name | Abby Louise Wenzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225238900 PECOS PAC ID: 4587756820 Enrollment ID: I20190220001628 |
| Provider Name | Jennifer M Webb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417585084 PECOS PAC ID: 5698189207 Enrollment ID: I20210121003094 |
| Provider Name | Kelsey Marie Keil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891371142 PECOS PAC ID: 1850791930 Enrollment ID: I20210610002339 |
| Provider Name | Steven Robert Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831626894 PECOS PAC ID: 3375813637 Enrollment ID: I20220224002756 |
| Provider Name | Jamie-sue Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477284933 PECOS PAC ID: 6103208905 Enrollment ID: I20220726002416 |
| Provider Name | Heather Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396326427 PECOS PAC ID: 2961884283 Enrollment ID: I20220803002487 |
| Provider Name | Rebecca Ann Reichard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548706369 PECOS PAC ID: 1254708043 Enrollment ID: I20221108002013 |
| Provider Name | Makaela Rose Mackley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104421635 PECOS PAC ID: 4486019288 Enrollment ID: I20230501001614 |
| Provider Name | Emily Frances Schroeder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689953184 PECOS PAC ID: 0345607271 Enrollment ID: I20230607001991 |
| Provider Name | Destinee Jane Tatro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851164867 PECOS PAC ID: 5496102329 Enrollment ID: I20231114001646 |
| Provider Name | Michelle Christine Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699389957 PECOS PAC ID: 9032568621 Enrollment ID: I20231207002679 |
| Provider Name | Sarah Ann Bumgarner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881351799 PECOS PAC ID: 1355791518 Enrollment ID: I20231229001919 |
| Provider Name | Jenna Ann Haarstick |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407384282 PECOS PAC ID: 5890145080 Enrollment ID: I20240101000106 |
| Provider Name | Sheri Jo Tesch |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093940512 PECOS PAC ID: 9335590397 Enrollment ID: I20240104000990 |
| Provider Name | Allison Kay Netter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073030805 PECOS PAC ID: 0547611717 Enrollment ID: I20240111004510 |
| Provider Name | Brittany Zimmerman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598189227 PECOS PAC ID: 1951753599 Enrollment ID: I20240118003101 |
| Provider Name | Ashley Ann-christen Becker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780081398 PECOS PAC ID: 1658723200 Enrollment ID: I20240118003564 |
| Provider Name | Carleen Theisen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881461143 PECOS PAC ID: 7315390879 Enrollment ID: I20240131003293 |
| Provider Name | Dawn Benson-hance |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316314917 PECOS PAC ID: 9335592732 Enrollment ID: I20240201002997 |
| Provider Name | Cathryn J Nissen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760264329 PECOS PAC ID: 9739522855 Enrollment ID: I20240206002028 |
| Provider Name | Cassandra L Kirby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326608639 PECOS PAC ID: 3173967346 Enrollment ID: I20240215001016 |
| Provider Name | Tylor Cummings |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1538898408 PECOS PAC ID: 2264876788 Enrollment ID: I20240222003204 |
| Provider Name | Marah Rae Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487429411 PECOS PAC ID: 9830534502 Enrollment ID: I20240304003320 |
| Provider Name | Deidre Bonarrigo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396092458 PECOS PAC ID: 4789993916 Enrollment ID: I20240411003101 |
| Provider Name | Lexi Louise Alm Johnson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912542127 PECOS PAC ID: 2860833951 Enrollment ID: I20240507001730 |
| Provider Name | Nicole Christine Olson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1295213072 PECOS PAC ID: 1557702628 Enrollment ID: I20240508000193 |
| Provider Name | Susan Jean Fuchs-hoeschen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669794723 PECOS PAC ID: 7315489713 Enrollment ID: I20240612002579 |
Hope - Waivered Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 157 Roosevelt Rd, Suite 300, Saint Cloud, MN 56301 Phone: 320-240-3324 Fax: 320-240-3339 | |
St. Cloud State University Medical Clinic And Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 First Avenue South, Saint Cloud, MN 56301 Phone: 320-308-3191 Fax: 320-308-3192 | |
St. Cloud Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1406 6th Ave North, Saint Cloud, MN 56303 Phone: 320-307-3676 Fax: 320-656-7009 | |
Gayle Neuerburg Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1521 Northway Dr Ste 110, Saint Cloud, MN 56303 Phone: 218-721-2982 | |
Tuorila Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Doctors Park, Saint Cloud, MN 56303 Phone: 320-253-4321 Fax: 320-281-3045 | |
St. Cloud Neurobehavioral Associates, Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3812 8th St N Ste 200, Saint Cloud, MN 56303 Phone: 320-253-3833 Fax: 320-253-5741 | |
Cartwright Counseling Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1723 7th St Se, Saint Cloud, MN 56304 Phone: 612-324-1642 Fax: 612-421-0021 |