| Lorenz Clinic, Llc | |
|
1772 Steiger Lake Ln Suite 220 Victoria MN 55386-7723 | |
| (952) 443-4600 | |
| (952) 443-4604 |
| Full Name | Lorenz Clinic, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1772 Steiger Lake Ln, Victoria, Minnesota |
| Authorized Official Name and Position | Chad T. Lorenz (OWNER) |
| Authorized Official Contact | 9524434600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lorenz Clinic, Llc Po Box 51 1772 Stieger Lake Lane Suite 220 Victoria MN 55386-0051 Ph: (952) 443-4600 | Lorenz Clinic, Llc 1772 Steiger Lake Ln Suite 220 Victoria MN 55386-7723 Ph: (952) 443-4600 |
| NPI Number | 1982900510 |
|---|---|
| Provider Enumeration Date | 01/29/2011 |
| Last Update Date | 08/18/2016 |
| Medicare PECOS PAC ID | 7810282845 |
|---|---|
| Medicare Enrollment ID | O20160830000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982900510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1764 (Minnesota) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | LP5754 (Minnesota) | Secondary |
| Provider Name | Melissa A Maas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326194010 PECOS PAC ID: 0446356943 Enrollment ID: I20070430000349 |
| Provider Name | Chad T Lorenz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629213541 PECOS PAC ID: 2264727296 Enrollment ID: I20160830000196 |
| Provider Name | Sarah A Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437694593 PECOS PAC ID: 7012284359 Enrollment ID: I20170517001003 |
| Provider Name | Brandon J Suarez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114431574 PECOS PAC ID: 3678835428 Enrollment ID: I20180315000729 |
| Provider Name | Laurie Lynne Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386785855 PECOS PAC ID: 7517016983 Enrollment ID: I20190403000540 |
| Provider Name | Brittney Ann Royer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508422874 PECOS PAC ID: 8224364856 Enrollment ID: I20190719001545 |
| Provider Name | Karen N Chinnock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164065868 PECOS PAC ID: 3274966502 Enrollment ID: I20191127001149 |
| Provider Name | Robert C Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801416029 PECOS PAC ID: 9830501832 Enrollment ID: I20201216001301 |
| Provider Name | Kelsey Marie Hyde |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962804773 PECOS PAC ID: 3779990874 Enrollment ID: I20210407000498 |
| Provider Name | Prakriti Chaulagain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336723378 PECOS PAC ID: 1759781958 Enrollment ID: I20210609002475 |
| Provider Name | Jared S Spencer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477199636 PECOS PAC ID: 7214335157 Enrollment ID: I20211007001870 |
| Provider Name | Amanda N Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851060636 PECOS PAC ID: 9436557204 Enrollment ID: I20211007003608 |
| Provider Name | Amanda K Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730626524 PECOS PAC ID: 4183019656 Enrollment ID: I20220318001907 |
| Provider Name | Jill Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306013826 PECOS PAC ID: 9032589387 Enrollment ID: I20221230001272 |
| Provider Name | Nikki Frances Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942916887 PECOS PAC ID: 4981079431 Enrollment ID: I20230414000264 |
| Provider Name | Elijah Benjamin Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235831322 PECOS PAC ID: 5092180430 Enrollment ID: I20230417001490 |
| Provider Name | Sarah Rose Petersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831701515 PECOS PAC ID: 7416312673 Enrollment ID: I20230424001440 |
| Provider Name | Anna Elizabeth Ludowese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588254940 PECOS PAC ID: 6800257239 Enrollment ID: I20230802001432 |
| Provider Name | Abigail Lynn Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972263051 PECOS PAC ID: 6406219765 Enrollment ID: I20230905000795 |
| Provider Name | Kristin Oscarson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689451338 PECOS PAC ID: 5193170314 Enrollment ID: I20231009000954 |
| Provider Name | Sarah Adele Roth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700667748 PECOS PAC ID: 5294182705 Enrollment ID: I20231106000618 |
| Provider Name | Julie Elizabeth Van Beusekom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104608868 PECOS PAC ID: 6406203892 Enrollment ID: I20231107000689 |
| Provider Name | Brittany Dale Leitch Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174137855 PECOS PAC ID: 1951758010 Enrollment ID: I20231110000752 |
| Provider Name | Amanda Lynn Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508547977 PECOS PAC ID: 1153770284 Enrollment ID: I20231214000107 |
| Provider Name | Amy Elizabeth Spivey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437713161 PECOS PAC ID: 4880044510 Enrollment ID: I20231221001419 |
| Provider Name | Hannah Williams |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932572856 PECOS PAC ID: 5193175792 Enrollment ID: I20231222000290 |
| Provider Name | Andrew Philip Clemens |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770960015 PECOS PAC ID: 2163872714 Enrollment ID: I20231222002199 |
| Provider Name | Kelly Jean-mcniff Kivel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134565278 PECOS PAC ID: 8325498876 Enrollment ID: I20231222002746 |
| Provider Name | Matthew David Robert Barsness |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811578511 PECOS PAC ID: 7214387414 Enrollment ID: I20240101000239 |
| Provider Name | Devan Kristine Rubio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013632363 PECOS PAC ID: 8820449812 Enrollment ID: I20240103003532 |
| Provider Name | Desiree Yvette Phillips |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932846946 PECOS PAC ID: 6002267721 Enrollment ID: I20240108000666 |
| Provider Name | Abagael Jo Gerdes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629757430 PECOS PAC ID: 8921459033 Enrollment ID: I20240112001262 |
| Provider Name | Megan Elaine Fredrickson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184257081 PECOS PAC ID: 3173966371 Enrollment ID: I20240205002186 |
| Provider Name | Jeffrey Paul Schewe |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780742742 PECOS PAC ID: 6002250388 Enrollment ID: I20240214002311 |
| Provider Name | Jay Scott Sidor |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194235663 PECOS PAC ID: 0840634606 Enrollment ID: I20240220002799 |
| Provider Name | Michael J Vesely |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427388321 PECOS PAC ID: 5698119105 Enrollment ID: I20240222002976 |
| Provider Name | Samantha Boyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689362139 PECOS PAC ID: 6305207192 Enrollment ID: I20240226000880 |
| Provider Name | Amy Elizabeth Babcock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184193781 PECOS PAC ID: 8426493446 Enrollment ID: I20240229002932 |
| Provider Name | Alyssa Rose Kittleson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417671363 PECOS PAC ID: 2062859572 Enrollment ID: I20240320000700 |
| Provider Name | Christina Anne Preston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396436465 PECOS PAC ID: 9032556584 Enrollment ID: I20240320002145 |
| Provider Name | Audrey Elizabeth Brickley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568151827 PECOS PAC ID: 8426497736 Enrollment ID: I20240419000974 |
| Provider Name | Julia May Carpenter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194486704 PECOS PAC ID: 7113368895 Enrollment ID: I20240513001315 |
| Provider Name | Ashley Nicole Taylor Utz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033791256 PECOS PAC ID: 9931541729 Enrollment ID: I20240524000839 |
| Provider Name | Kelsey Nicole Wall |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992497267 PECOS PAC ID: 6507208063 Enrollment ID: I20240529002891 |
| Provider Name | Grace Anne Cimino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225571987 PECOS PAC ID: 4587100524 Enrollment ID: I20240725003165 |
| Provider Name | Taylor Blaisdell Stotz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033800065 PECOS PAC ID: 6608313424 Enrollment ID: I20240730000470 |
| Provider Name | Mason Allan Carpenter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649962481 PECOS PAC ID: 9234670209 Enrollment ID: I20240917004286 |
| Provider Name | Hannah Frances Ellenby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285323493 PECOS PAC ID: 4981145356 Enrollment ID: I20240925002870 |
| Provider Name | Ellen Lenore Honsa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477294262 PECOS PAC ID: 8325570633 Enrollment ID: I20241011000580 |
| Provider Name | Lillian Mary Kallestad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952134199 PECOS PAC ID: 2062944861 Enrollment ID: I20241017003948 |
Grander Living Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7924 Victoria Dr Ste 201c, Victoria, MN 55386 Phone: 952-220-9283 |