Healthwise Psychology, Pa - Medicare Mental Health Clinic in Maple Grove, MN

Healthwise Psychology, Pa is a medicare enrolled mental health clinic (Psychologist - Clinical) in Maple Grove, Minnesota. The current practice location for Healthwise Psychology, Pa is 11280 86th Ave N, Maple Grove, Minnesota. For appointments, you can reach them via phone at (763) 400-7828. The mailing address for Healthwise Psychology, Pa is 11280 86th Ave N, Maple Grove, Minnesota and phone number is (763) 400-7828.

Healthwise Psychology, Pa is licensed to practice in Minnesota (license number ). The clinic also participates in the medicare program and its NPI number is 1184920753. 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 (763) 400-7828.

Contact Information

Healthwise Psychology, Pa
11280 86th Ave N
Maple Grove
MN 55369-4510
(763) 400-7828
(763) 400-7444

Map and Direction


Mental Health Clinic Profile

Full NameHealthwise Psychology, Pa
SpecialityPsychologist
Location11280 86th Ave N, Maple Grove, Minnesota
Authorized Official Name and PositionKristin B Dahl (LICENSED PSYCHOLOGIST/OWNER)
Authorized Official Contact6125995197
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Healthwise Psychology, Pa
11280 86th Ave N
Maple Grove
MN 55369-4510

Ph: (763) 400-7828
Healthwise Psychology, Pa
11280 86th Ave N
Maple Grove
MN 55369-4510

Ph: (763) 400-7828

NPI Details:

NPI Number1184920753
Provider Enumeration Date01/31/2011
Last Update Date05/29/2014

Medicare PECOS Information:

Medicare PECOS PAC ID2567685647
Medicare Enrollment IDO20140516001784

Medical Identifiers

Medical identifiers for Healthwise Psychology, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184920753NPI-NPPES
558677200MedicaidMN
H100135821OtherMNMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (Minnesota)Primary
1041C0700XSocial Worker - Clinical (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. Healthwise Psychology, Pa acts as a billing entity for following providers:
Provider NameCaryl E Boehnert
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1780848515
PECOS PAC ID: 8224013818
Enrollment ID: I20040618001114
Provider NameDorothy T Soukup
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1497846950
PECOS PAC ID: 4981654316
Enrollment ID: I20050124001027
Provider NameJanice Eilene Beauduy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184686396
PECOS PAC ID: 7517990674
Enrollment ID: I20050919000278
Provider NameKirsten M Wyffels
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275619223
PECOS PAC ID: 1557361482
Enrollment ID: I20061228000025
Provider NameMarci M Mueller Theisen
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1578697173
PECOS PAC ID: 6507956539
Enrollment ID: I20071214000252
Provider NameJackie Lyn Micklewright
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1669705638
PECOS PAC ID: 0345411674
Enrollment ID: I20110919000350
Provider NameJamie Z Nupen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1548533011
PECOS PAC ID: 3476792268
Enrollment ID: I20130627000427
Provider NameKristin Beth Dahl
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1134382914
PECOS PAC ID: 9739302829
Enrollment ID: I20140520001450
Provider NameHeidi Catrice Kopacek
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1326463944
PECOS PAC ID: 7113140856
Enrollment ID: I20140527000668
Provider NameJulie A Karels
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1235400573
PECOS PAC ID: 3173810447
Enrollment ID: I20160930000093
Provider NameHaley N Carlock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013364199
PECOS PAC ID: 5991093635
Enrollment ID: I20161012000310
Provider NameBritta Marie Lundberg
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1861815490
PECOS PAC ID: 7517241433
Enrollment ID: I20170221001245
Provider NameThomas D Kennison
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1760731731
PECOS PAC ID: 0648597393
Enrollment ID: I20171010002848
Provider NameLauren M Simensen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1366968281
PECOS PAC ID: 0749546919
Enrollment ID: I20171106000678
Provider NameKelly Andrea Berscheit
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1851816227
PECOS PAC ID: 9931248697
Enrollment ID: I20180104000038
Provider NameNicole M Marcouiller
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1407364565
PECOS PAC ID: 2860753449
Enrollment ID: I20180222000029
Provider NameKathryn Angela Schuster
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023423027
PECOS PAC ID: 6002177581
Enrollment ID: I20180223002257
Provider NameMarysa Meyer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154851053
PECOS PAC ID: 0749552875
Enrollment ID: I20180724003628
Provider NameNatalie N Brandsrud
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043797848
PECOS PAC ID: 5092064428
Enrollment ID: I20180820000030
Provider NameJu-ping Huang
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1477984433
PECOS PAC ID: 6507110400
Enrollment ID: I20181113000584
Provider NameJessica A Wright
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1902364656
PECOS PAC ID: 2062749922
Enrollment ID: I20190815000337
Provider NameSarah Cross
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1659506525
PECOS PAC ID: 4082924642
Enrollment ID: I20200403002021
Provider NameRobert A Hinman
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1013089937
PECOS PAC ID: 2264850106
Enrollment ID: I20200909003143
Provider NameElizabeth A Braun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245846740
PECOS PAC ID: 3476973660
Enrollment ID: I20201008001560
Provider NameMaggie Graham
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1659957231
PECOS PAC ID: 1759779606
Enrollment ID: I20211026000437
Provider NameMark Olson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1750724522
PECOS PAC ID: 8729463146
Enrollment ID: I20220920003530
Provider NameKimbi Glenn Marenakos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073031902
PECOS PAC ID: 2961747019
Enrollment ID: I20230111002684
Provider NameJennifer F Wiseman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1497877740
PECOS PAC ID: 4385018662
Enrollment ID: I20230328002821
Provider NameErica Cook
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992421085
PECOS PAC ID: 3779940663
Enrollment ID: I20230608000811
Provider NameKathleen Elizabeth Risko
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1659517928
PECOS PAC ID: 7214311877
Enrollment ID: I20230828002794
Provider NameKayla M Kvell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194501643
PECOS PAC ID: 3971958794
Enrollment ID: I20231023000089
Provider NameSarah K Theisen
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1588448138
PECOS PAC ID: 3678916079
Enrollment ID: I20240213000155
Provider NameAlison Holkup
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1942660964
PECOS PAC ID: 2668816570
Enrollment ID: I20240220002085
Provider NameNina Vadnais
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1366081333
PECOS PAC ID: 1951745777
Enrollment ID: I20240221000088
Provider NameDarci Witasek
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1447560172
PECOS PAC ID: 1850617234
Enrollment ID: I20240221000378
Provider NameErin Green
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1316375348
PECOS PAC ID: 2365886082
Enrollment ID: I20240221000580
Provider NameKelly Senesac
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1508072604
PECOS PAC ID: 7416391057
Enrollment ID: I20240222000352
Provider NameNicholas Anderson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1841662988
PECOS PAC ID: 3870938293
Enrollment ID: I20240226002704
Provider NameJonathan Boorman
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1063862043
PECOS PAC ID: 2163867193
Enrollment ID: I20240229003253
Provider NameLorilee Virnig
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1629511027
PECOS PAC ID: 8921442609
Enrollment ID: I20240306001545
Provider NameJennifer Johnson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1790183614
PECOS PAC ID: 5092151308
Enrollment ID: I20240308002695
Provider NameJennifer Nowak
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1497229637
PECOS PAC ID: 5991141202
Enrollment ID: I20240308002742
Provider NameRebecca Bakker
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1508490905
PECOS PAC ID: 0749626869
Enrollment ID: I20240312002128
Provider NameEmily Marrs
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1063877447
PECOS PAC ID: 9335585009
Enrollment ID: I20240316000070
Provider NameBrandon Stavish
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1508412925
PECOS PAC ID: 7012353709
Enrollment ID: I20240318000047
Provider NameGreta Gilbertson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1730668039
PECOS PAC ID: 9234576224
Enrollment ID: I20240326003272
Provider NameJennifer Anderson
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1073963179
PECOS PAC ID: 7214375039
Enrollment ID: I20240329000570
Provider NameKellie Hanson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285043547
PECOS PAC ID: 5294176822
Enrollment ID: I20240514003721
Provider NameBecky Paurus
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1740874346
PECOS PAC ID: 1850833542
Enrollment ID: I20240610002131

Reviews and Comments

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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.