| Ellie Mental Health | |
|
1370 Mendota Heights Rd Mendota Heights MN 55120-1281 | |
| (651) 313-8080 | |
| Not Available |
| Full Name | Ellie Mental Health |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1370 Mendota Heights Rd, Mendota Heights, Minnesota |
| Authorized Official Name and Position | Erin K Pash (CEO) |
| Authorized Official Contact | 6513243746 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health 1370 Mendota Heights Rd Mendota Heights MN 55120-1281 Ph: (651) 313-8080 | Ellie Mental Health 1370 Mendota Heights Rd Mendota Heights MN 55120-1281 Ph: (651) 313-8080 |
| NPI Number | 1740664150 |
|---|---|
| Provider Enumeration Date | 07/15/2015 |
| Last Update Date | 08/11/2022 |
| Certification Date | 08/11/2022 |
| Medicare PECOS PAC ID | 8325309669 |
|---|---|
| Medicare Enrollment ID | O20180228001972 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740664150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Daine Q Jorento |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376653386 PECOS PAC ID: 9032101993 Enrollment ID: I20040331001177 |
| Provider Name | Suzanne Aoun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114019122 PECOS PAC ID: 6800881350 Enrollment ID: I20040415000788 |
| Provider Name | Marc E Mooney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104960061 PECOS PAC ID: 1951481456 Enrollment ID: I20080109000868 |
| Provider Name | Heather Schmidtknecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750661021 PECOS PAC ID: 9032383724 Enrollment ID: I20111115000209 |
| Provider Name | Robyn J Janssen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982747226 PECOS PAC ID: 3870767262 Enrollment ID: I20111121000891 |
| Provider Name | Warren B Fritze |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295078715 PECOS PAC ID: 3577701226 Enrollment ID: I20130607000474 |
| Provider Name | Debra Diane Sowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720410921 PECOS PAC ID: 9335382191 Enrollment ID: I20130826000776 |
| Provider Name | Suzanne G Jasberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679891196 PECOS PAC ID: 0941426043 Enrollment ID: I20140725001548 |
| Provider Name | Natalie L Carstenbrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437528759 PECOS PAC ID: 2567762131 Enrollment ID: I20151203002252 |
| 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 | Ronald J Zuchora Walske |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518140391 PECOS PAC ID: 0042585457 Enrollment ID: I20171011002688 |
| Provider Name | Franklin Joseph Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578085692 PECOS PAC ID: 0345516779 Enrollment ID: I20171030001607 |
| Provider Name | Rebecca M Floyd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245764497 PECOS PAC ID: 8921364795 Enrollment ID: I20171110000637 |
| Provider Name | Allison M Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972022267 PECOS PAC ID: 5597031781 Enrollment ID: I20171117001717 |
| Provider Name | Kathryn M Conery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144600503 PECOS PAC ID: 7517224074 Enrollment ID: I20171208001088 |
| Provider Name | Amber L Pearson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649783341 PECOS PAC ID: 6305104274 Enrollment ID: I20171223000024 |
| Provider Name | Michael J Lemair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235659830 PECOS PAC ID: 7618235524 Enrollment ID: I20171226001926 |
| Provider Name | Terri E Bly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093221129 PECOS PAC ID: 4587927967 Enrollment ID: I20180417002513 |
| Provider Name | Sarah E Tague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861909012 PECOS PAC ID: 9830453679 Enrollment ID: I20180503000873 |
| Provider Name | Emily Jean Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912481607 PECOS PAC ID: 9638423841 Enrollment ID: I20181106002515 |
| Provider Name | Jennifer L. Gay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578034013 PECOS PAC ID: 8123365657 Enrollment ID: I20190122003266 |
| Provider Name | Anthony Giancola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629518782 PECOS PAC ID: 3678811957 Enrollment ID: I20190212001290 |
| Provider Name | Alexander D Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336603224 PECOS PAC ID: 4789923970 Enrollment ID: I20190306001062 |
| Provider Name | Kelly A Pieper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518323625 PECOS PAC ID: 4587907456 Enrollment ID: I20190516000082 |
| Provider Name | Abigail Irene Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184284366 PECOS PAC ID: 6507194966 Enrollment ID: I20190822002076 |
| Provider Name | Emma R Thelen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063053890 PECOS PAC ID: 9830521608 Enrollment ID: I20191115001704 |
| Provider Name | Vivian Ngongang Ogunyemi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528450608 PECOS PAC ID: 1759715378 Enrollment ID: I20200107001096 |
| Provider Name | Kayla E Felten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659910388 PECOS PAC ID: 8628406774 Enrollment ID: I20200324000696 |
| Provider Name | Margaret F Herriges |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912533290 PECOS PAC ID: 9537599063 Enrollment ID: I20200423000902 |
| Provider Name | Gina M Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245679653 PECOS PAC ID: 0648691261 Enrollment ID: I20200605001160 |
| Provider Name | Renee L Sandvik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649441304 PECOS PAC ID: 7315248846 Enrollment ID: I20200814001949 |
| Provider Name | Lindsay A Rahkola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679942130 PECOS PAC ID: 8921425570 Enrollment ID: I20200902000367 |
| Provider Name | Mollie D Yocum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801085634 PECOS PAC ID: 1759700156 Enrollment ID: I20201005001910 |
| Provider Name | Elizabeth A Braun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245846740 PECOS PAC ID: 3476973660 Enrollment ID: I20201008001560 |
| Provider Name | Monsurat Nihinlola Oluwa-okougbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326659210 PECOS PAC ID: 7416367594 Enrollment ID: I20201030000577 |
| Provider Name | Justin A Gerstner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780962670 PECOS PAC ID: 3173755493 Enrollment ID: I20201102000329 |
| Provider Name | Michael L Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447312251 PECOS PAC ID: 6103236179 Enrollment ID: I20201103000031 |
| Provider Name | Rebecca Anne Venier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841815099 PECOS PAC ID: 8527479856 Enrollment ID: I20201118000208 |
| Provider Name | Evy C Hultgren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104433416 PECOS PAC ID: 4880007434 Enrollment ID: I20201229000817 |
| Provider Name | Michael P Sadowsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457956138 PECOS PAC ID: 5597170001 Enrollment ID: I20210216000792 |
| Provider Name | Kamber M Peerboom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386230894 PECOS PAC ID: 8729494356 Enrollment ID: I20210305002338 |
| Provider Name | Callie C Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235715467 PECOS PAC ID: 5496163537 Enrollment ID: I20210409000867 |
| Provider Name | Jessica L Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457992471 PECOS PAC ID: 6901214568 Enrollment ID: I20210420000997 |
| Provider Name | Barbara Dansie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841686755 PECOS PAC ID: 6608285796 Enrollment ID: I20210430000960 |
| Provider Name | Catherine M Avant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497335137 PECOS PAC ID: 8729487533 Enrollment ID: I20210527002611 |
| Provider Name | Kelli L Tischer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912580085 PECOS PAC ID: 0345642575 Enrollment ID: I20210712001270 |
| Provider Name | Arminda Mary Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538838594 PECOS PAC ID: 9133517303 Enrollment ID: I20211021001323 |
| Provider Name | Tamara Pribnow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710649777 PECOS PAC ID: 0446641005 Enrollment ID: I20211216000025 |
| Provider Name | John Lyon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316121189 PECOS PAC ID: 3476608878 Enrollment ID: I20211230001233 |
| Provider Name | Adefunke Rachel Odujole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750964094 PECOS PAC ID: 4587056288 Enrollment ID: I20220107002177 |
| Provider Name | Jessica Joyce Colter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801554944 PECOS PAC ID: 5395137095 Enrollment ID: I20220107002249 |
| Provider Name | Claire Garber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205270238 PECOS PAC ID: 9335455955 Enrollment ID: I20220110001788 |
| Provider Name | Susan Marie Roers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902068125 PECOS PAC ID: 5799177853 Enrollment ID: I20220121001782 |
| Provider Name | Bradley Crnobrna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366838781 PECOS PAC ID: 5890187967 Enrollment ID: I20220121002268 |
| Provider Name | Anna M King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336890227 PECOS PAC ID: 9335531169 Enrollment ID: I20220127002380 |
| Provider Name | Amy Pickering |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154743789 PECOS PAC ID: 6608269451 Enrollment ID: I20220131002134 |
| Provider Name | Gladys Ndip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245899285 PECOS PAC ID: 2264826304 Enrollment ID: I20220307000308 |
| Provider Name | Sarah Christine Christopherson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447819263 PECOS PAC ID: 4880089481 Enrollment ID: I20220317001798 |
| Provider Name | Jodie Glaspie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689323040 PECOS PAC ID: 5597151449 Enrollment ID: I20220401001907 |
| Provider Name | Erin Grace King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508513573 PECOS PAC ID: 1254727464 Enrollment ID: I20220414001619 |
| Provider Name | Anna Quincer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811515976 PECOS PAC ID: 2466839022 Enrollment ID: I20220519002448 |
| Provider Name | Danielle Kaderlik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952030959 PECOS PAC ID: 1951783620 Enrollment ID: I20220728001243 |
| Provider Name | Corinne Webb-kay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497283444 PECOS PAC ID: 5496024457 Enrollment ID: I20220809002945 |
| Provider Name | April Knipfer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407357007 PECOS PAC ID: 2769865237 Enrollment ID: I20220816001717 |
| Provider Name | Chelsey Jane Hauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306095336 PECOS PAC ID: 6709269764 Enrollment ID: I20220824001395 |
| Provider Name | Hedit Florido-bergad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295365591 PECOS PAC ID: 8123403078 Enrollment ID: I20220914000627 |
| Provider Name | Darcy Lenzner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952024580 PECOS PAC ID: 5991172983 Enrollment ID: I20221103002577 |
| Provider Name | Miranda D Barker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093431686 PECOS PAC ID: 2062889066 Enrollment ID: I20221103003164 |
| Provider Name | Elizabeth Falk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356072946 PECOS PAC ID: 4486021425 Enrollment ID: I20221104001228 |
| Provider Name | Zoey Mae Alch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740906965 PECOS PAC ID: 8729455597 Enrollment ID: I20221108000835 |
| Provider Name | Ally Kuye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154054484 PECOS PAC ID: 8224406913 Enrollment ID: I20221130003149 |
| Provider Name | Teryn Lea Coffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740832542 PECOS PAC ID: 5991176380 Enrollment ID: I20230123001143 |
| Provider Name | Cari Kokotovich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225549736 PECOS PAC ID: 8022482140 Enrollment ID: I20230313001348 |
| Provider Name | Molly Elizabeth Mcmahon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679928766 PECOS PAC ID: 6103290101 Enrollment ID: I20230314002188 |
| Provider Name | Sonam Lama |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356954432 PECOS PAC ID: 2466826243 Enrollment ID: I20230317000308 |
| Provider Name | Riley Hayes Goodall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164123857 PECOS PAC ID: 2668846163 Enrollment ID: I20230324000173 |
| Provider Name | Nicole Rubbelke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548968332 PECOS PAC ID: 3870968761 Enrollment ID: I20230406000935 |
| Provider Name | Pennie Deann Rubbelke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427760701 PECOS PAC ID: 6608241500 Enrollment ID: I20230406001458 |
| Provider Name | Ashley Gryskiewicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750082202 PECOS PAC ID: 3577938307 Enrollment ID: I20230410002144 |
| Provider Name | Samantha Marie Bender |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609564731 PECOS PAC ID: 7113382599 Enrollment ID: I20230509000598 |
| Provider Name | Emily Mae Shopek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770279085 PECOS PAC ID: 1951767292 Enrollment ID: I20230511002695 |
| Provider Name | Sara Jean Polley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841514734 PECOS PAC ID: 2860858602 Enrollment ID: I20230519001998 |
| Provider Name | Erin Blase |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770233272 PECOS PAC ID: 7113384579 Enrollment ID: I20230531001672 |
| Provider Name | Elizabeth Emily Seebach |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275118192 PECOS PAC ID: 4486011608 Enrollment ID: I20230602002207 |
| Provider Name | John Lichtsinn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063739266 PECOS PAC ID: 2365809381 Enrollment ID: I20230607001545 |
| Provider Name | Erica Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992421085 PECOS PAC ID: 3779940663 Enrollment ID: I20230608000811 |
| Provider Name | Andrea Hofstad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679266357 PECOS PAC ID: 9133588064 Enrollment ID: I20230710002492 |
| Provider Name | Caitlin Schneider |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235752213 PECOS PAC ID: 1658731591 Enrollment ID: I20230724002390 |
| Provider Name | Christin Holy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811672256 PECOS PAC ID: 6204297047 Enrollment ID: I20230726003501 |
| Provider Name | Mariah Kresky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750060364 PECOS PAC ID: 0345601605 Enrollment ID: I20230802002960 |
| Provider Name | Kara Kocmick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861098998 PECOS PAC ID: 8022491588 Enrollment ID: I20230815001575 |
| Provider Name | Kaitlyn Gartner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477234672 PECOS PAC ID: 8325400765 Enrollment ID: I20230816002346 |
| Provider Name | Chloe Elizabeth Brostrom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992486286 PECOS PAC ID: 0749643526 Enrollment ID: I20230825003417 |
| Provider Name | Kelsey Hammer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629853460 PECOS PAC ID: 2062876881 Enrollment ID: I20230913000825 |
| Provider Name | Kelliann Kutschke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720863798 PECOS PAC ID: 0547614406 Enrollment ID: I20230926002045 |
| Provider Name | Twyla George |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831232289 PECOS PAC ID: 4385090687 Enrollment ID: I20231023002298 |
| Provider Name | Molly Kay Mitley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265214050 PECOS PAC ID: 4981050598 Enrollment ID: I20231101003367 |
| Provider Name | Sara Catherine Stenger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124301114 PECOS PAC ID: 7113374844 Enrollment ID: I20231116003388 |
| Provider Name | Christina Gibbons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063286672 PECOS PAC ID: 5092163030 Enrollment ID: I20231130002843 |
| Provider Name | Patricia Jean Dickmann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215256334 PECOS PAC ID: 3870942352 Enrollment ID: I20231208002151 |
| Provider Name | Michael John Volkman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336916972 PECOS PAC ID: 8325498983 Enrollment ID: I20231221002776 |
| Provider Name | Cynthia Dianne Sterett Howard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568244051 PECOS PAC ID: 2860842374 Enrollment ID: I20231226000990 |
| Provider Name | Elizabeth Eileen Bechel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982477352 PECOS PAC ID: 2466802970 Enrollment ID: I20231226001150 |
| Provider Name | Alexander Larson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376015719 PECOS PAC ID: 5395195531 Enrollment ID: I20231229001382 |
| Provider Name | Valerie Fitzgerald |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649692039 PECOS PAC ID: 7113378100 Enrollment ID: I20240103003455 |
| Provider Name | Patricia Lee Gorman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235351917 PECOS PAC ID: 9335590959 Enrollment ID: I20240109000545 |
| Provider Name | Karla Kelpin Boemer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992047948 PECOS PAC ID: 1557712015 Enrollment ID: I20240109001978 |
| Provider Name | Heather Lynn Carabajal |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225175854 PECOS PAC ID: 9537510094 Enrollment ID: I20240109002068 |
| Provider Name | Angela Charley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548047558 PECOS PAC ID: 9335590892 Enrollment ID: I20240109002150 |
| Provider Name | Erica Lynn Golofski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710557822 PECOS PAC ID: 0941651400 Enrollment ID: I20240109002237 |
| Provider Name | Kristen Pearl Kearns |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912545625 PECOS PAC ID: 4688025018 Enrollment ID: I20240110000184 |
| Provider Name | Jennifer Marie Keehn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174053961 PECOS PAC ID: 4587015912 Enrollment ID: I20240110000226 |
| Provider Name | Megan Jessica Kjolsing |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699118570 PECOS PAC ID: 1658722087 Enrollment ID: I20240110000276 |
| Provider Name | Lindsay Jordan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033484001 PECOS PAC ID: 6002267481 Enrollment ID: I20240110002066 |
| Provider Name | Leah Ione Craft |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013592088 PECOS PAC ID: 6406207885 Enrollment ID: I20240110002257 |
| Provider Name | Jill Salo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619650744 PECOS PAC ID: 9830540228 Enrollment ID: I20240110002342 |
| Provider Name | Peter Moises Falcon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508212812 PECOS PAC ID: 9638520026 Enrollment ID: I20240110002423 |
| Provider Name | Jimmy Quach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760106637 PECOS PAC ID: 0345691739 Enrollment ID: I20240110002499 |
| Provider Name | Lacie Kummer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568907624 PECOS PAC ID: 2163873555 Enrollment ID: I20240110002505 |
| Provider Name | Scott Daniel Zien-edgar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023443819 PECOS PAC ID: 6507217999 Enrollment ID: I20240110002611 |
| Provider Name | Jessica Hagen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588291975 PECOS PAC ID: 3678924073 Enrollment ID: I20240110002693 |
| Provider Name | Rose Joiner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912304825 PECOS PAC ID: 9830540236 Enrollment ID: I20240110002734 |
| Provider Name | Carrie Weller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053973339 PECOS PAC ID: 1557712957 Enrollment ID: I20240110002775 |
| Provider Name | Abby Wollin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639892532 PECOS PAC ID: 0244681658 Enrollment ID: I20240110002923 |
| Provider Name | Mark J Wilde |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1801233192 PECOS PAC ID: 9739530148 Enrollment ID: I20240110003164 |
| Provider Name | Anna Christine Trout |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639838915 PECOS PAC ID: 5698126019 Enrollment ID: I20240110003415 |
| Provider Name | Kailee Monson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114641719 PECOS PAC ID: 3274984562 Enrollment ID: I20240111001212 |
| Provider Name | Pauline April Svare |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1316309727 PECOS PAC ID: 0941651244 Enrollment ID: I20240111001474 |
| Provider Name | Nastassia Marie Pavlov |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609284033 PECOS PAC ID: 2466803762 Enrollment ID: I20240111001579 |
| Provider Name | Madeline Rae Sandeen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063000883 PECOS PAC ID: 3375994676 Enrollment ID: I20240111001580 |
| Provider Name | Marlena Ruth Sauer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336545086 PECOS PAC ID: 6507217817 Enrollment ID: I20240111001803 |
| Provider Name | Bailey Sue Rhoades |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588384416 PECOS PAC ID: 1850742164 Enrollment ID: I20240111001843 |
| Provider Name | Molly A Sartor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467066068 PECOS PAC ID: 3173974383 Enrollment ID: I20240111002054 |
| Provider Name | Stephanie Nicole Stewart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417540592 PECOS PAC ID: 1153772363 Enrollment ID: I20240111002115 |
| Provider Name | Sara Michelle Mennen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174761175 PECOS PAC ID: 2769833979 Enrollment ID: I20240111002216 |
| Provider Name | Angela Ann Ackerman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093345902 PECOS PAC ID: 3779934997 Enrollment ID: I20240111002600 |
| Provider Name | Wendy Florence Rauschke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831749225 PECOS PAC ID: 0547610768 Enrollment ID: I20240111003055 |
| Provider Name | Alicia Ann Exsted |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922491703 PECOS PAC ID: 3779934906 Enrollment ID: I20240111003066 |
| Provider Name | Allison Affolter |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174256960 PECOS PAC ID: 7719338979 Enrollment ID: I20240111004142 |
| Provider Name | Alexa J Thelen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639667256 PECOS PAC ID: 4082065248 Enrollment ID: I20240111004160 |
| Provider Name | Nathaniel Martin Shields |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609473990 PECOS PAC ID: 6608227707 Enrollment ID: I20240112000748 |
| Provider Name | Emily Ann Poe |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699421131 PECOS PAC ID: 9739530833 Enrollment ID: I20240112000974 |
| Provider Name | Xoel Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528694239 PECOS PAC ID: 0547611667 Enrollment ID: I20240112001378 |
| Provider Name | Sarah Ann Connell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699315838 PECOS PAC ID: 1759732878 Enrollment ID: I20240112001589 |
| Provider Name | Ashley Marie Limesand |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720767825 PECOS PAC ID: 4880045913 Enrollment ID: I20240112001825 |
| Provider Name | Danielle Palm |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083200471 PECOS PAC ID: 2860843919 Enrollment ID: I20240112002605 |
| Provider Name | Nicole Marie Nelson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013342435 PECOS PAC ID: 7810314804 Enrollment ID: I20240112002867 |
| Provider Name | Heather A.h. Reidinger |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619142700 PECOS PAC ID: 6709237878 Enrollment ID: I20240112003282 |
| Provider Name | Hannah Sockwell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033758594 PECOS PAC ID: 4981056074 Enrollment ID: I20240112004014 |
| Provider Name | Austin Jacobsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558040105 PECOS PAC ID: 9638521784 Enrollment ID: I20240115000630 |
| Provider Name | Barbara K Stanton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518980846 PECOS PAC ID: 7618329764 Enrollment ID: I20240115000708 |
| Provider Name | Laurel Ann Walsh |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669857520 PECOS PAC ID: 8527410554 Enrollment ID: I20240116001357 |
| Provider Name | Faye Katherine Foote |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174900773 PECOS PAC ID: 6305298373 Enrollment ID: I20240116002560 |
| Provider Name | Trevor Lloyd Gohner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174032460 PECOS PAC ID: 4789940594 Enrollment ID: I20240118000217 |
| Provider Name | Drew Allen Turnquist |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528836855 PECOS PAC ID: 6002268745 Enrollment ID: I20240118002899 |
| Provider Name | Breanna Dawn Freeborn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023533627 PECOS PAC ID: 0446602189 Enrollment ID: I20240118002943 |
| Provider Name | Kevyn Lynn Hoel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396324604 PECOS PAC ID: 3678925211 Enrollment ID: I20240118003147 |
| Provider Name | Matthew Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265764641 PECOS PAC ID: 8426400078 Enrollment ID: I20240118003387 |
| Provider Name | Daniel James Aleckson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871373365 PECOS PAC ID: 2365894946 Enrollment ID: I20240118004398 |
| Provider Name | Katherine Marie Roush |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528519600 PECOS PAC ID: 7315399912 Enrollment ID: I20240119000159 |
| Provider Name | Adam Riffe |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1295288223 PECOS PAC ID: 6204288814 Enrollment ID: I20240119000650 |
| Provider Name | Kyle Johnston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760147946 PECOS PAC ID: 9638521255 Enrollment ID: I20240119001093 |
| Provider Name | Erin Elizabeth Opoku |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831566066 PECOS PAC ID: 2062864598 Enrollment ID: I20240119001545 |
| Provider Name | Jenna Marandon Soderbeck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093356297 PECOS PAC ID: 2163874611 Enrollment ID: I20240119002224 |
| Provider Name | Brian Thorsen Stevens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194430934 PECOS PAC ID: 4082066550 Enrollment ID: I20240119002944 |
| Provider Name | Jennifer Lynn Kahmeyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881121150 PECOS PAC ID: 2961854435 Enrollment ID: I20240119003044 |
| Provider Name | Bryn Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396114252 PECOS PAC ID: 6305298886 Enrollment ID: I20240119003176 |
| Provider Name | Dominic Poulin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972021368 PECOS PAC ID: 8921450404 Enrollment ID: I20240119003233 |
| Provider Name | Elizabeth Kaye Dumke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013637693 PECOS PAC ID: 3274985759 Enrollment ID: I20240119003334 |
| Provider Name | Chelsea Mangen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578091708 PECOS PAC ID: 7911359401 Enrollment ID: I20240119003710 |
| Provider Name | Sara Marie Livingston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679079438 PECOS PAC ID: 7416309844 Enrollment ID: I20240122000685 |
| Provider Name | Holly Sayers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972148609 PECOS PAC ID: 5991157364 Enrollment ID: I20240122002189 |
| Provider Name | Samantha Jean Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548785603 PECOS PAC ID: 8325490709 Enrollment ID: I20240122002654 |
| Provider Name | Zachery Reese Eichler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568136257 PECOS PAC ID: 4486006798 Enrollment ID: I20240122003963 |
| Provider Name | Kathryn Lynn Score |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598427007 PECOS PAC ID: 0941652200 Enrollment ID: I20240123000734 |
| Provider Name | Ruth M Denton-graber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578596789 PECOS PAC ID: 7517310584 Enrollment ID: I20240125002507 |
| Provider Name | Laura Mathys |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194231886 PECOS PAC ID: 6103279070 Enrollment ID: I20240126001857 |
| Provider Name | Erin Glawe Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144455239 PECOS PAC ID: 9436502275 Enrollment ID: I20240129002851 |
| Provider Name | Hannah Spike Noel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902407943 PECOS PAC ID: 3971956616 Enrollment ID: I20240129003333 |
| Provider Name | Georgiann Marie Melton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447024831 PECOS PAC ID: 1759734452 Enrollment ID: I20240130000772 |
| Provider Name | Elizabeth Steele Banovetz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1538613047 PECOS PAC ID: 2062865769 Enrollment ID: I20240130000898 |
| Provider Name | Leah R Swaden |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972236750 PECOS PAC ID: 8820441546 Enrollment ID: I20240130001466 |
| Provider Name | Katlyn Jo Jessen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447772249 PECOS PAC ID: 6406209097 Enrollment ID: I20240131000447 |
| Provider Name | Emily Coler Hanson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255657409 PECOS PAC ID: 3476906074 Enrollment ID: I20240131000825 |
| Provider Name | Hollyann Marie Saucedo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972234300 PECOS PAC ID: 0840643391 Enrollment ID: I20240131002989 |
| Provider Name | Julie Elizabeth Bates |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881159226 PECOS PAC ID: 3870946189 Enrollment ID: I20240201003891 |
| Provider Name | Clair Therese Anderson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639894132 PECOS PAC ID: 4688027998 Enrollment ID: I20240201003940 |
| Provider Name | Lynsey Rose Jacobson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619645447 PECOS PAC ID: 9830532084 Enrollment ID: I20240205003869 |
| Provider Name | Shanna Van Duzer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942830443 PECOS PAC ID: 6608219308 Enrollment ID: I20240209001943 |
| Provider Name | Heather Lynn Bromann |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871882233 PECOS PAC ID: 7113360637 Enrollment ID: I20240212001821 |
| Provider Name | Jokotade Monsurat Shonibare |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902089956 PECOS PAC ID: 2466895909 Enrollment ID: I20240212002138 |
| Provider Name | Ali S Kanan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447805205 PECOS PAC ID: 7012350564 Enrollment ID: I20240212002500 |
| Provider Name | Adam Gorsetman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447931902 PECOS PAC ID: 2860835311 Enrollment ID: I20240212002734 |
| Provider Name | Erika Teachout |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366160012 PECOS PAC ID: 5496198954 Enrollment ID: I20240212002800 |
| Provider Name | Ashley Bauch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710618400 PECOS PAC ID: 9032552419 Enrollment ID: I20240213002942 |
| Provider Name | Jessi Baltzer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326736380 PECOS PAC ID: 1153765334 Enrollment ID: I20240215001449 |
| Provider Name | Shanasi Mason |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861948093 PECOS PAC ID: 3274977335 Enrollment ID: I20240216000241 |
| Provider Name | Benjamin Andrew Mattson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487175253 PECOS PAC ID: 6901240076 Enrollment ID: I20240216000292 |
| Provider Name | Alexandra Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891262812 PECOS PAC ID: 4587008586 Enrollment ID: I20240219000015 |
| Provider Name | Brittany Lyn Amundson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467152520 PECOS PAC ID: 2961846720 Enrollment ID: I20240220002706 |
| Provider Name | Anna Finke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336845130 PECOS PAC ID: 9436594918 Enrollment ID: I20240224000507 |
| Provider Name | Teresa Halmar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376108605 PECOS PAC ID: 5092150441 Enrollment ID: I20240226002418 |
| Provider Name | Lynda Iglesia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669246146 PECOS PAC ID: 4880039189 Enrollment ID: I20240227000312 |
| Provider Name | Victoria Speake |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780142158 PECOS PAC ID: 4183069255 Enrollment ID: I20240228002247 |
| Provider Name | Jamie Christine Sulflow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689258592 PECOS PAC ID: 8022454313 Enrollment ID: I20240308002095 |
| Provider Name | Emily Ann Groteboer-distad |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942855408 PECOS PAC ID: 8921444258 Enrollment ID: I20240308003472 |
| Provider Name | Lisa Van Tassell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659514503 PECOS PAC ID: 4880030071 Enrollment ID: I20240311001283 |
| Provider Name | Daniel James Madsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003400219 PECOS PAC ID: 0345686283 Enrollment ID: I20240313002928 |
| Provider Name | Michelle Lynn Hovey Swerin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437786761 PECOS PAC ID: 5890132369 Enrollment ID: I20240319003442 |
| Provider Name | Lance Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013682558 PECOS PAC ID: 1951748466 Enrollment ID: I20240320000768 |
| Provider Name | Adam Coron Mcconnaughey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205519410 PECOS PAC ID: 2769829142 Enrollment ID: I20240320003863 |
| Provider Name | Amber Rae Madume |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780970715 PECOS PAC ID: 3476990854 Enrollment ID: I20240320003919 |
| Provider Name | Angela Wong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144084849 PECOS PAC ID: 8022455468 Enrollment ID: I20240321001634 |
| Provider Name | Billie Jo Story |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184149429 PECOS PAC ID: 7719324169 Enrollment ID: I20240321002275 |
| Provider Name | Neal Petersen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235611716 PECOS PAC ID: 7315384138 Enrollment ID: I20240328000443 |
| Provider Name | Jayme Lorraine Bender Baden |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831471762 PECOS PAC ID: 7214374032 Enrollment ID: I20240328000503 |
| Provider Name | Christi Michelle Wellman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568085868 PECOS PAC ID: 8729426325 Enrollment ID: I20240402001264 |
| Provider Name | Taquoia Hammick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811566235 PECOS PAC ID: 6507205499 Enrollment ID: I20240411001432 |
| Provider Name | Amy Kalbrener |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649038845 PECOS PAC ID: 3971942582 Enrollment ID: I20240416001448 |
| Provider Name | Kendra Porter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598494635 PECOS PAC ID: 1951740588 Enrollment ID: I20240416002002 |
| Provider Name | Christine Famiano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891126611 PECOS PAC ID: 2062851579 Enrollment ID: I20240417001171 |
| Provider Name | Laura Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962706887 PECOS PAC ID: 7618317561 Enrollment ID: I20240425003624 |
| Provider Name | Sarah Bourassa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336718840 PECOS PAC ID: 0547600322 Enrollment ID: I20240426000629 |
| Provider Name | Michael Eugene Atkinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194583633 PECOS PAC ID: 0547600231 Enrollment ID: I20240429001112 |
| Provider Name | Tarah Tarr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285999409 PECOS PAC ID: 8123468816 Enrollment ID: I20240429001343 |
| Provider Name | Marissa Smith |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811749450 PECOS PAC ID: 3971944968 Enrollment ID: I20240508001063 |
| Provider Name | Angela T Haydel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922325653 PECOS PAC ID: 7911039367 Enrollment ID: I20240508001833 |
| Provider Name | Marcos Macias |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437914223 PECOS PAC ID: 5496196198 Enrollment ID: I20240513001772 |
| Provider Name | Madeline Baker Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457969057 PECOS PAC ID: 8224479928 Enrollment ID: I20240513002078 |
| Provider Name | Cassandra Jean Beyers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730830068 PECOS PAC ID: 7214378694 Enrollment ID: I20240516001075 |
| Provider Name | Scott P Kronebusch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770806150 PECOS PAC ID: 2163864851 Enrollment ID: I20240528000181 |
| Provider Name | Jamie Marie Rigling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508616962 PECOS PAC ID: 7214379700 Enrollment ID: I20240529003683 |
| Provider Name | Jennifer Gail Given |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881381143 PECOS PAC ID: 6507208964 Enrollment ID: I20240530002499 |
| Provider Name | Janel Marie Pitzen Slowinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174166318 PECOS PAC ID: 1951743327 Enrollment ID: I20240530002558 |
| Provider Name | Amanda Popp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841919784 PECOS PAC ID: 6608318670 Enrollment ID: I20240605002002 |
| Provider Name | Naysha Lavonne Stone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861971566 PECOS PAC ID: 1951843622 Enrollment ID: I20240610001681 |
Dan Christensen-cowan Licsw, L.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 Cheyenne Ln, Mendota Heights, MN 55120 Phone: 651-216-1202 | |
Residential Transitions Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 S Plaza Dr Ste 100, Mendota Heights, MN 55120 Phone: 651-457-1461 Fax: 651-455-1385 | |
Dungarvin Minnesota Home Health Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1440 Northland Dr Ste 100, Mendota Heights, MN 55120 Phone: 651-699-6050 Fax: 651-699-7265 | |
Grove Park Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 721 Round Hill Rd, Mendota Heights, MN 55118 Phone: 651-307-9626 | |
Sexual Wellness Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2291 Waters Dr, Mendota Heights, MN 55120 Phone: 651-401-5010 Fax: 612-235-6447 | |
Beacon Specialized Living Minnesota, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1355 Mendota Heights Road, Suite 260, Mendota Heights, MN 55120 Phone: 651-451-2889 Fax: 651-451-5955 | |
Ellie Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1370 Mendota Heights Rd, Mendota Heights, MN 55120 Phone: 651-583-4447 |