Highland Park Counseling Associates Llc | |
790 Cleveland Ave S Ste 207 Saint Paul MN 55116-3866 | |
(651) 690-0953 | |
(651) 690-0968 |
Full Name | Highland Park Counseling Associates Llc |
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Speciality | Social Worker |
Location | 790 Cleveland Ave S Ste 207, Saint Paul, Minnesota |
Authorized Official Name and Position | Berven Sears Berven (PSYCHOTHERAPIST/OWNER) |
Authorized Official Contact | 6516900953 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Highland Park Counseling Associates Llc 790 Cleveland Ave S Ste 207 Saint Paul MN 55116-3866 Ph: (651) 690-0953 | Highland Park Counseling Associates Llc 790 Cleveland Ave S Ste 207 Saint Paul MN 55116-3866 Ph: (651) 690-0953 |
NPI Number | 1558371955 |
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Provider Enumeration Date | 08/08/2006 |
Last Update Date | 03/24/2020 |
Certification Date | 03/24/2020 |
Medicare PECOS PAC ID | 1850336801 |
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Medicare Enrollment ID | O20050621000886 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558371955 | NPI | - | NPPES |
576717200 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Shelley S Berven |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265539308 PECOS PAC ID: 7517973175 Enrollment ID: I20060306000790 |
Provider Name | Glenda M Janzen |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821174616 PECOS PAC ID: 4284758236 Enrollment ID: I20100828000040 |
Provider Name | Andrea S Robertson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720304991 PECOS PAC ID: 6608029145 Enrollment ID: I20130110000594 |
Provider Name | Brynn J H Stember-albrecht |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649711805 PECOS PAC ID: 3971888157 Enrollment ID: I20170330002571 |
Provider Name | James W Johns |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053859934 PECOS PAC ID: 3779869870 Enrollment ID: I20170403002501 |
Provider Name | Jeanne M Forbes |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164958666 PECOS PAC ID: 5294001343 Enrollment ID: I20181116002568 |
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