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8401 Wayzata Blvd Suite 370 Golden Valley MN 55426-1343 | |
| (763) 544-1006 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8401 Wayzata Blvd, Golden Valley, Minnesota |
| Authorized Official Name and Position | Sandra Marie Hoy (CFO) |
| Authorized Official Contact | 7635441006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
8401 Wayzata Blvd Suite 370 Golden Valley MN 55426-1343 Ph: (763) 544-1006 | 8401 Wayzata Blvd Suite 370 Golden Valley MN 55426-1343 Ph: (763) 544-1006 |
| NPI Number | 1831239003 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6608318498 |
|---|---|
| Medicare Enrollment ID | O20240607002519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831239003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Mardee Rosen Hall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649324427 PECOS PAC ID: 2062865686 Enrollment ID: I20240607002738 |
| Provider Name | Gretchen Anne Haisman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376258475 PECOS PAC ID: 9830632926 Enrollment ID: I20240618000013 |
| Provider Name | Ruth Ann Plante |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972002244 PECOS PAC ID: 2567905656 Enrollment ID: I20240618000021 |
| Provider Name | Jane Elizabeth Kommer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427639657 PECOS PAC ID: 7214470186 Enrollment ID: I20240620000084 |
| Provider Name | Mary Rose Colucci |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811513286 PECOS PAC ID: 3274076153 Enrollment ID: I20240620000269 |
| Provider Name | Mary Thomson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891177994 PECOS PAC ID: 3375086150 Enrollment ID: I20240621000250 |
| Provider Name | Megan Elizabeth Kunz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144430950 PECOS PAC ID: 1456894237 Enrollment ID: I20240621000272 |
| Provider Name | Robert Harrison Stillman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215501978 PECOS PAC ID: 9436692217 Enrollment ID: I20240621000330 |
| Provider Name | Gabriel Ottman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063025120 PECOS PAC ID: 8325581119 Enrollment ID: I20240621000671 |
| Provider Name | Armani S Cartlidge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164183166 PECOS PAC ID: 6002359825 Enrollment ID: I20240621001614 |
| Provider Name | Gregory Allen Gray |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1962657460 PECOS PAC ID: 5890238398 Enrollment ID: I20240625000047 |
| Provider Name | Thao Nguyen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285181503 PECOS PAC ID: 3870037377 Enrollment ID: I20240625003813 |
| Provider Name | Erica Christine Arndt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801288519 PECOS PAC ID: 1951845429 Enrollment ID: I20240626001593 |
| Provider Name | Amber-leigh K Rothlisberger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730822172 PECOS PAC ID: 7113461575 Enrollment ID: I20240627000426 |
| Provider Name | Gregory S Sawyer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598412694 PECOS PAC ID: 3274077490 Enrollment ID: I20240628002237 |
| Provider Name | Mary Ellen Emmeck |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467827279 PECOS PAC ID: 9436693520 Enrollment ID: I20240701000545 |
| Provider Name | Benjamin Hughes Forsberg |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568978344 PECOS PAC ID: 2163966284 Enrollment ID: I20240701001606 |
| Provider Name | David Henry Hoy |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1639223431 PECOS PAC ID: 2860934668 Enrollment ID: I20240704000638 |
| Provider Name | Michelle Rennie |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396198016 PECOS PAC ID: 7012451719 Enrollment ID: I20240705002165 |
| Provider Name | Kristina Boylan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548657273 PECOS PAC ID: 3779028220 Enrollment ID: I20240709003657 |
| Provider Name | Geri G. Scherer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881958544 PECOS PAC ID: 8628513611 Enrollment ID: I20240715001773 |
| Provider Name | Darcy Lynn Steinhaus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831858299 PECOS PAC ID: 1557806213 Enrollment ID: I20240717003435 |
| Provider Name | Mark Thomas Collins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437744869 PECOS PAC ID: 2860938586 Enrollment ID: I20240718001155 |
| Provider Name | Faithe Patrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467189860 PECOS PAC ID: 6002356110 Enrollment ID: I20240904001230 |
| Provider Name | Matthew Dang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962181123 PECOS PAC ID: 7315488087 Enrollment ID: I20240920002920 |
| Provider Name | Alyssa Vander Schaaf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811418775 PECOS PAC ID: 9133660814 Enrollment ID: I20240920003411 |
| Provider Name | Clara Buxton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982107520 PECOS PAC ID: 1658812383 Enrollment ID: I20240923000870 |
| Provider Name | Doreen Kudrle |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1801297577 PECOS PAC ID: 5395286934 Enrollment ID: I20240923001668 |
| Provider Name | Ashley Ann Bauman-burr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407441207 PECOS PAC ID: 4880135433 Enrollment ID: I20240923001902 |
| Provider Name | Makayla Pappas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013157924 PECOS PAC ID: 1658812201 Enrollment ID: I20240923002079 |
Lucinda Cummings, Ph.d., Lp, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8085 Wayzata Blvd, #212, Golden Valley, MN 55426 Phone: 763-546-1796 Fax: 763-546-8260 | |
Stephanie Untiedt, Phd, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5101 Olson Memorial Hwy Ste 4007, Golden Valley, MN 55422 Phone: 763-595-7294 Fax: 763-595-7293 | |
Buice Behavioral Healthcare Consultants Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1710 Douglas Dr N Ste 120, Golden Valley, MN 55422 Phone: 763-807-5254 Fax: 763-465-3032 |