Eagan Counseling Clinic - Medicare Mental Health Clinic in Eagan, MN

Eagan Counseling Clinic is a medicare enrolled mental health clinic (Psychologist - Clinical) in Eagan, Minnesota. The current practice location for Eagan Counseling Clinic is 3450 Oleary Ln, Eagan, Minnesota. For appointments, you can reach them via phone at (651) 454-0114. The mailing address for Eagan Counseling Clinic is 3450 Oleary Ln, Eagan, Minnesota and phone number is (651) 454-0114.

Eagan Counseling Clinic is licensed to practice in Minnesota (license number 800689-2-MHC). The clinic also participates in the medicare program and its NPI number is 1144311184. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (651) 454-0114.

Contact Information

Eagan Counseling Clinic
3450 Oleary Ln
Eagan
MN 55123-2340
(651) 454-0114
(651) 454-3492

Map and Direction


Mental Health Clinic Profile

Full NameEagan Counseling Clinic
SpecialityPsychologist
Location3450 Oleary Ln, Eagan, Minnesota
Authorized Official Name and PositionPeggy Dominic (CHIEF FINANCIAL OFFICER)
Authorized Official Contact6513658217
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Eagan Counseling Clinic
3450 Oleary Ln
Eagan
MN 55123-2340

Ph: (651) 454-0114
Eagan Counseling Clinic
3450 Oleary Ln
Eagan
MN 55123-2340

Ph: (651) 454-0114

NPI Details:

NPI Number1144311184
Provider Enumeration Date09/27/2006
Last Update Date04/10/2008

Medicare PECOS Information:

Medicare PECOS PAC ID2860304045
Medicare Enrollment IDO20031105000326

Medical Identifiers

Medical identifiers for Eagan Counseling Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144311184NPI-NPPES
800084OtherMNPREFERRED ONE
59280EAOtherMNBCBS
00892OtherMNHEALTH PARTNERS
101973OtherMNUCARE
84-57408OtherMNMEDICA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 800689-2-MHC (Minnesota)Primary
103TP2701XPsychologist - Group Psychotherapy 800689-2-MHC (Minnesota)Secondary
251B00000XCase Management 800689-2-MHC (Minnesota)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Eagan Counseling Clinic acts as a billing entity for following providers:
Provider NameDaniel C Thomason
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1629093380
PECOS PAC ID: 4183663537
Enrollment ID: I20050426000946
Provider NameSujit R Varma
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1013018258
PECOS PAC ID: 0840224002
Enrollment ID: I20050927000227
Provider NameGary Lee Norman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1972644581
PECOS PAC ID: 9537256508
Enrollment ID: I20071107000795
Provider NameMichael A Donndelinger-beldon
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1740329234
PECOS PAC ID: 4082771084
Enrollment ID: I20090318000466
Provider NameMichelle M Tichey
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1578595492
PECOS PAC ID: 1153450531
Enrollment ID: I20100524000142
Provider NameAnastasia L Cyptar
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1376663963
PECOS PAC ID: 1254526791
Enrollment ID: I20101110001005
Provider NameMolly Cronin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1235221441
PECOS PAC ID: 1355516790
Enrollment ID: I20111213000412
Provider NamePatrick M Doyle
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1700978061
PECOS PAC ID: 4082526264
Enrollment ID: I20120131000370
Provider NameLisa Marie Sorenson-woodhull
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1215021266
PECOS PAC ID: 5092972166
Enrollment ID: I20120201000039
Provider NameKathleen M Sprole
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1770887689
PECOS PAC ID: 5991962383
Enrollment ID: I20120214000462
Provider NameRebecca L Johnson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1851708259
PECOS PAC ID: 9032331269
Enrollment ID: I20141104000495
Provider NameMeghan D Miller
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1225377088
PECOS PAC ID: 7416273594
Enrollment ID: I20150309000774
Provider NameAlex Nc Johnson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1578802336
PECOS PAC ID: 9436465705
Enrollment ID: I20150901001578
Provider NameElizabeth Islay Mcpeek
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1093191603
PECOS PAC ID: 3678883048
Enrollment ID: I20151116000428
Provider NameAmy L Jacky
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922437334
PECOS PAC ID: 4183852478
Enrollment ID: I20160719002800
Provider NameMiranda B Dulek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356896765
PECOS PAC ID: 3678860319
Enrollment ID: I20160923002114
Provider NameAnn C Fasching
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1376044149
PECOS PAC ID: 9133474810
Enrollment ID: I20180620003264
Provider NameNatalie N Brandsrud
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043797848
PECOS PAC ID: 5092064428
Enrollment ID: I20180820000030
Provider NameDustin M Jacob
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1376967570
PECOS PAC ID: 2264664267
Enrollment ID: I20180821000748
Provider NameRichard Edwin Close
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1457379026
PECOS PAC ID: 9739433970
Enrollment ID: I20181107000624
Provider NameElise B Quam
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1891269155
PECOS PAC ID: 7810238367
Enrollment ID: I20190409003460
Provider NameJessica D Maryniuk
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1396140422
PECOS PAC ID: 1850632324
Enrollment ID: I20190410000992
Provider NameDanielle L Kuka
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1568937092
PECOS PAC ID: 2163763657
Enrollment ID: I20190410001704
Provider NameLauren E Daniel
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164899944
PECOS PAC ID: 9537400056
Enrollment ID: I20190412001827
Provider NameMelissa Mary Conway
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1518526631
PECOS PAC ID: 0143559021
Enrollment ID: I20190903002315
Provider NameJoshua Hampton Goodwin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1730733098
PECOS PAC ID: 6507196201
Enrollment ID: I20190923003261
Provider NameBrigit M Kotzky
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1265780191
PECOS PAC ID: 9739513532
Enrollment ID: I20200103001195
Provider NameKaibeh Benson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265065114
PECOS PAC ID: 1052741865
Enrollment ID: I20200420000216
Provider NameEllen C Solis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1922560788
PECOS PAC ID: 4385067164
Enrollment ID: I20200713001635
Provider NameLisa J Rutman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194334318
PECOS PAC ID: 5395163984
Enrollment ID: I20200914002255
Provider NameEmiily E Glover
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1033630967
PECOS PAC ID: 5193136901
Enrollment ID: I20201201000244
Provider NameShane M Hamp
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326655093
PECOS PAC ID: 2264843960
Enrollment ID: I20201202001043
Provider NameAvery R Luft
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1053823294
PECOS PAC ID: 8921356866
Enrollment ID: I20210630003124
Provider NameKimberly R Debeer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1437822558
PECOS PAC ID: 1355746702
Enrollment ID: I20210823002023
Provider NameLindsey Nicole Job
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1245949320
PECOS PAC ID: 3072983642
Enrollment ID: I20221226000128
Provider NameLaurie M Wollman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992485130
PECOS PAC ID: 4486018611
Enrollment ID: I20230906003832
Provider NameAngela K Krebs
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1508910530
PECOS PAC ID: 3274984331
Enrollment ID: I20240112002826
Provider NameDaniel B Redman
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1669962510
PECOS PAC ID: 6800274200
Enrollment ID: I20240116001184
Provider NameSharon A Flom
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1689449209
PECOS PAC ID: 0547612186
Enrollment ID: I20240118003247
Provider NameJeannine M Batchelder
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1306465596
PECOS PAC ID: 9739531229
Enrollment ID: I20240119003712
Provider NameSydney R Keeler
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1164004479
PECOS PAC ID: 1951753821
Enrollment ID: I20240126003147
Provider NameKathryn T Reinholdt
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1790311801
PECOS PAC ID: 3971955980
Enrollment ID: I20240131002430
Provider NameAmber L Schupp
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1720215171
PECOS PAC ID: 7012369085
Enrollment ID: I20240131002769
Provider NameHeather E Oleson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1518324706
PECOS PAC ID: 7618329640
Enrollment ID: I20240205001633
Provider NameLaura K Jayroe
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1053184267
PECOS PAC ID: 3870936065
Enrollment ID: I20240205001888
Provider NameScarlett H O'connell
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1073388542
PECOS PAC ID: 8820431034
Enrollment ID: I20240205002461
Provider NameCallie K Peterson
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1134817042
PECOS PAC ID: 6406299627
Enrollment ID: I20240205002999
Provider NameLawrene L Sedlacek
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1093288987
PECOS PAC ID: 6204279433
Enrollment ID: I20240205003091
Provider NameCarol S Elstad
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1518574672
PECOS PAC ID: 6305295023
Enrollment ID: I20240206001672
Provider NameAngela M Schaefer
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1609120146
PECOS PAC ID: 6002250289
Enrollment ID: I20240215001689
Provider NameJanel M Oberg
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1023427226
PECOS PAC ID: 3173974482
Enrollment ID: I20240228000163
Provider NameBrian L Nelson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1669930012
PECOS PAC ID: 5496106635
Enrollment ID: I20240228001077
Provider NameMara J Fusco
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1568949774
PECOS PAC ID: 3678922390
Enrollment ID: I20240301002941
Provider NameMatthew S Carlson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1023290632
PECOS PAC ID: 3476902727
Enrollment ID: I20240304000314
Provider NameMary A Freitag
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1992369664
PECOS PAC ID: 7416306808
Enrollment ID: I20240307000513
Provider NameLaura Ellen Mitchell
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1417668625
PECOS PAC ID: 3577900745
Enrollment ID: I20240322003774
Provider NameAlfred C Jaryan
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1679155477
PECOS PAC ID: 1557709672
Enrollment ID: I20240409000900
Provider NameJennifer E Hoffman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023888625
PECOS PAC ID: 1254779390
Enrollment ID: I20240409000973
Provider NameKaren S Slaght
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326219106
PECOS PAC ID: 5890137202
Enrollment ID: I20240530000464
Provider NameAlexis M Kruggel
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1184484073
PECOS PAC ID: 1153863675
Enrollment ID: I20240611003752
Provider NameMegan E Johnson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1710510888
PECOS PAC ID: 9032651526
Enrollment ID: I20240612001820

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Practice Location: 3450 Oleary Ln, Eagan, MN 55123
Phone: 651-454-0114    Fax: 651-454-3492

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.