| Hiawatha Valley Mental Health Center Inc. | |
|
420 E Sarnia St Ste 2100 Winona MN 55987-6414 | |
| (507) 454-4341 | |
| (507) 453-6267 |
| Full Name | Hiawatha Valley Mental Health Center Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 420 E Sarnia St Ste 2100, Winona, Minnesota |
| Authorized Official Name and Position | Erik Sievers (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5074544341 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hiawatha Valley Mental Health Center Inc. 420 E Sarnia St Ste 2100 Winona MN 55987-6414 Ph: (507) 454-4341 | Hiawatha Valley Mental Health Center Inc. 420 E Sarnia St Ste 2100 Winona MN 55987-6414 Ph: (507) 454-4341 |
| NPI Number | 1184606337 |
|---|---|
| Provider Enumeration Date | 11/15/2005 |
| Last Update Date | 02/27/2020 |
| Certification Date | 02/27/2020 |
| Medicare PECOS PAC ID | 7113026998 |
|---|---|
| Medicare Enrollment ID | O20070619000625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184606337 | NPI | - | NPPES |
| 38155HI | Other | MN | BCBS |
| 254755400 | Medicaid | MN | |
| 119914 | Other | MN | UCARE SOUTH COUNTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Minnesota) | Primary |
| Provider Name | Annette Smick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982654877 PECOS PAC ID: 8628173671 Enrollment ID: I20070419000248 |
| Provider Name | Amy G Pyron-hugo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811050560 PECOS PAC ID: 6406993492 Enrollment ID: I20091023000328 |
| Provider Name | Terry L Evers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194042663 PECOS PAC ID: 3274666334 Enrollment ID: I20100727000577 |
| Provider Name | Judy Ann Woods |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992937288 PECOS PAC ID: 8426296112 Enrollment ID: I20130608000196 |
| Provider Name | Michelle C Monerson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861733842 PECOS PAC ID: 5597906966 Enrollment ID: I20130726000676 |
| Provider Name | Bryan L Delvin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871574228 PECOS PAC ID: 2466689450 Enrollment ID: I20131219000694 |
| Provider Name | Lori A Kuenn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730160771 PECOS PAC ID: 8022241256 Enrollment ID: I20140423002108 |
| Provider Name | Jennifer C Whetstone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265728174 PECOS PAC ID: 0840423448 Enrollment ID: I20140506001869 |
| Provider Name | Andrew P Bohlman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740611730 PECOS PAC ID: 7012285752 Enrollment ID: I20170621001059 |
| Provider Name | Amy N Tornio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881117869 PECOS PAC ID: 8224300140 Enrollment ID: I20170828000241 |
| Provider Name | Katherine M Meyers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477800456 PECOS PAC ID: 3678823408 Enrollment ID: I20180829000962 |
| Provider Name | Marquitta C Trimnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376190793 PECOS PAC ID: 8729310636 Enrollment ID: I20191025002028 |
| Provider Name | Shelby Marx |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699220418 PECOS PAC ID: 3274946637 Enrollment ID: I20210105000803 |
| Provider Name | Heather J Mask |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942372859 PECOS PAC ID: 1658758883 Enrollment ID: I20220510000173 |
| Provider Name | Cynthia J Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851402416 PECOS PAC ID: 6901275684 Enrollment ID: I20221220002080 |
| Provider Name | Michaela Ann Gansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760076962 PECOS PAC ID: 5890157176 Enrollment ID: I20230818000064 |
| Provider Name | Jasmine Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891204152 PECOS PAC ID: 8921363904 Enrollment ID: I20230928001456 |
| Provider Name | Lisa Michelle Ellenburg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922886779 PECOS PAC ID: 1759737778 Enrollment ID: I20231027001266 |
| Provider Name | Veronica Vyonne Ives-virnig |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1588943963 PECOS PAC ID: 7517314693 Enrollment ID: I20231110001761 |
| Provider Name | Jennifer Ann Miles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073396271 PECOS PAC ID: 2769830959 Enrollment ID: I20231129000158 |
| Provider Name | Morgan Leigh Popp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770007569 PECOS PAC ID: 4183073059 Enrollment ID: I20231218002974 |
| Provider Name | Anthony Gordon Hollingsworth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497430458 PECOS PAC ID: 4688023567 Enrollment ID: I20231218003198 |
| Provider Name | Kaitlyn Joanne Bjerketved |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255045191 PECOS PAC ID: 8820447717 Enrollment ID: I20231218003765 |
| Provider Name | Emily Katheryne Erickson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750088555 PECOS PAC ID: 1052761970 Enrollment ID: I20231219000858 |
| Provider Name | Joann Lynn Skinner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053016626 PECOS PAC ID: 2769832682 Enrollment ID: I20231219000920 |
| Provider Name | Holly Lynn Courtenay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124506183 PECOS PAC ID: 7113377995 Enrollment ID: I20231220000407 |
| Provider Name | Jennifer Dieck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467820621 PECOS PAC ID: 3072856855 Enrollment ID: I20231228000940 |
| Provider Name | Shari Michel Fusillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699435982 PECOS PAC ID: 1850748930 Enrollment ID: I20240517001173 |
Catholic Charities Of Southern Minnesota Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 111 Market St, Suite 2, Winona, MN 55987 Phone: 507-454-2270 Fax: 507-457-3027 | |
Family & Children's Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Franklin St, Winona, MN 55987 Phone: 507-453-9563 Fax: 507-453-9562 | |
River City Psychiatric Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 902 E 2nd St Ste 109, Winona, MN 55987 Phone: 507-208-7629 Fax: 507-607-8671 | |
Family & Children's Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Franklin St, Winona, MN 55987 Phone: 507-453-9563 Fax: 507-453-9562 | |
Counseling Associates, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 111 Market St., Suite 4a, Winona, MN 55987 Phone: 507-452-5033 Fax: 507-452-5183 | |
Family & Children's Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Franklin St, Winona, MN 55987 Phone: 507-453-9563 Fax: 507-453-9562 |