| Lyn-lake Psychotherapy And Wellness Ltd. | |
|
621 W Lake St Ste 350 Minneapolis MN 55408-2952 | |
| (612) 979-2276 | |
| (651) 925-0427 |
| Full Name | Lyn-lake Psychotherapy And Wellness Ltd. |
|---|---|
| Speciality | Psychologist |
| Location | 621 W Lake St Ste 350, Minneapolis, Minnesota |
| Authorized Official Name and Position | Emily Rose Van Wyk (PRESIDENT) |
| Authorized Official Contact | 6514858417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyn-lake Psychotherapy And Wellness Ltd. 621 W Lake St Ste 350 Minneapolis MN 55408-2952 Ph: (612) 979-2276 | Lyn-lake Psychotherapy And Wellness Ltd. 621 W Lake St Ste 350 Minneapolis MN 55408-2952 Ph: (612) 979-2276 |
| NPI Number | 1609355163 |
|---|---|
| Provider Enumeration Date | 08/07/2018 |
| Last Update Date | 01/04/2021 |
| Certification Date | 01/04/2021 |
| Medicare PECOS PAC ID | 9638581291 |
|---|---|
| Medicare Enrollment ID | O20201224000071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609355163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amy E Mellum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285817528 PECOS PAC ID: 3476632464 Enrollment ID: I20080501000545 |
| Provider Name | Stephanie P Pedersen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104070952 PECOS PAC ID: 1951458447 Enrollment ID: I20090421000321 |
| Provider Name | Amy R Steiner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568606077 PECOS PAC ID: 0042356255 Enrollment ID: I20091001000261 |
| Provider Name | Patricia Murray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275783433 PECOS PAC ID: 7315082922 Enrollment ID: I20100308000403 |
| Provider Name | Katherine I West |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437487584 PECOS PAC ID: 5294861175 Enrollment ID: I20100330000900 |
| Provider Name | Glenda M Janzen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821174616 PECOS PAC ID: 4284758236 Enrollment ID: I20100828000040 |
| Provider Name | Kyan Soon Ja Bodden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194034686 PECOS PAC ID: 4284814401 Enrollment ID: I20110204000789 |
| Provider Name | Susan R Roeller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801193123 PECOS PAC ID: 8022293133 Enrollment ID: I20110504000408 |
| Provider Name | Justine A Uran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831385491 PECOS PAC ID: 8224201579 Enrollment ID: I20111101000534 |
| Provider Name | Elizabeth Henderson Shreve |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366766032 PECOS PAC ID: 1052555679 Enrollment ID: I20130923000339 |
| Provider Name | Nicolette Ann Erchul |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598102873 PECOS PAC ID: 5294958609 Enrollment ID: I20140603000722 |
| Provider Name | Amber Schneider |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184036329 PECOS PAC ID: 4284858564 Enrollment ID: I20140605001969 |
| Provider Name | Heidi Jo Titze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902201155 PECOS PAC ID: 7214252048 Enrollment ID: I20150218002462 |
| Provider Name | Jean M Rivard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154754984 PECOS PAC ID: 7911213319 Enrollment ID: I20150831002263 |
| Provider Name | Brittan J Donohoe |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538531165 PECOS PAC ID: 0648578328 Enrollment ID: I20160413000590 |
| Provider Name | Jade A Erickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811389679 PECOS PAC ID: 8921307489 Enrollment ID: I20160504001927 |
| Provider Name | Cameron B Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336682640 PECOS PAC ID: 0648551325 Enrollment ID: I20170112000265 |
| Provider Name | Jeannie M Campe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114476512 PECOS PAC ID: 5395027262 Enrollment ID: I20170130001084 |
| Provider Name | Melanie Rebecca Bourke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588051213 PECOS PAC ID: 5294006052 Enrollment ID: I20170812000397 |
| Provider Name | Jamie R Hackett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104340751 PECOS PAC ID: 7810259868 Enrollment ID: I20180403000486 |
| Provider Name | Terri E Bly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093221129 PECOS PAC ID: 4587927967 Enrollment ID: I20180417002513 |
| Provider Name | Nancy R Giffen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841300415 PECOS PAC ID: 3971690702 Enrollment ID: I20180423001556 |
| Provider Name | Keyur Desai |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467935080 PECOS PAC ID: 5991057101 Enrollment ID: I20181016001006 |
| Provider Name | Stefanie R Kuhnmuench |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578929154 PECOS PAC ID: 5991058661 Enrollment ID: I20181025002284 |
| Provider Name | Ethan E Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275024341 PECOS PAC ID: 5294076907 Enrollment ID: I20190406000035 |
| Provider Name | Amanda Lynn Braatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275025520 PECOS PAC ID: 4688917610 Enrollment ID: I20190515000766 |
| Provider Name | Peggy Jackson Chun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326601089 PECOS PAC ID: 4981930062 Enrollment ID: I20190726001875 |
| Provider Name | Joanna Louise Mills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760815583 PECOS PAC ID: 2860636115 Enrollment ID: I20190807000373 |
| Provider Name | Emily Bemben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760897375 PECOS PAC ID: 1456680859 Enrollment ID: I20190910003651 |
| Provider Name | David Hein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023498896 PECOS PAC ID: 8426485780 Enrollment ID: I20200226000558 |
| Provider Name | Kathleen Ann Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467574715 PECOS PAC ID: 3971931262 Enrollment ID: I20200320000261 |
| Provider Name | Susan Herrmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306928239 PECOS PAC ID: 6406011089 Enrollment ID: I20200409000422 |
| Provider Name | Amy L. Kephart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174845119 PECOS PAC ID: 1850720020 Enrollment ID: I20200409001165 |
| Provider Name | Cheri A Kuhn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811418346 PECOS PAC ID: 0749610822 Enrollment ID: I20200414002676 |
| Provider Name | Marsha M Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407481591 PECOS PAC ID: 2163664186 Enrollment ID: I20200508002703 |
| Provider Name | Susan Elizabeth Rau Fritts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922200419 PECOS PAC ID: 9931521234 Enrollment ID: I20200615001532 |
| Provider Name | Sarah Slathar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649893777 PECOS PAC ID: 9234555335 Enrollment ID: I20200820000019 |
| Provider Name | Joanna Maria Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760025035 PECOS PAC ID: 2567880743 Enrollment ID: I20200921001718 |
| Provider Name | William Clements Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891303079 PECOS PAC ID: 3678983939 Enrollment ID: I20201028000911 |
| Provider Name | Natasha L Isaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720608110 PECOS PAC ID: 6608295167 Enrollment ID: I20210107001521 |
| Provider Name | Lisa Holliday |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063018968 PECOS PAC ID: 1951715648 Enrollment ID: I20210120001252 |
| Provider Name | Gregory Homan Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760750921 PECOS PAC ID: 6507151560 Enrollment ID: I20210128001706 |
| Provider Name | Allison Bjork |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801499298 PECOS PAC ID: 2567876428 Enrollment ID: I20210204001051 |
| Provider Name | Heather Marie Livingston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700461555 PECOS PAC ID: 7517375140 Enrollment ID: I20210421000599 |
| Provider Name | Yael Gun-goggins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790053692 PECOS PAC ID: 2860800109 Enrollment ID: I20210426001967 |
| Provider Name | Susan Mihwa Haffner |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1659961498 PECOS PAC ID: 4880003912 Enrollment ID: I20210503000256 |
| Provider Name | Charlotte Ann Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063999472 PECOS PAC ID: 9537568746 Enrollment ID: I20210520000595 |
| Provider Name | Jamie L Baso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356922496 PECOS PAC ID: 8123427135 Enrollment ID: I20210525000530 |
| Provider Name | Prakriti Chaulagain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336723378 PECOS PAC ID: 1759781958 Enrollment ID: I20210609002475 |
| Provider Name | Paige A Love |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275168668 PECOS PAC ID: 0941601389 Enrollment ID: I20210623001832 |
| Provider Name | Christopher Jay Westergaard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891353264 PECOS PAC ID: 5799187480 Enrollment ID: I20210719000999 |
| Provider Name | Alina Katelyn Amunrud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407529332 PECOS PAC ID: 0244635142 Enrollment ID: I20210816001400 |
| Provider Name | Lynn M Whitfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770175127 PECOS PAC ID: 1951708569 Enrollment ID: I20210924000615 |
| Provider Name | June Jenn Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467853325 PECOS PAC ID: 9638577166 Enrollment ID: I20211013001327 |
| Provider Name | Hulda M Mosiori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528673779 PECOS PAC ID: 0749670644 Enrollment ID: I20211208002767 |
| Provider Name | Vivienne Lorijn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750958005 PECOS PAC ID: 4082006937 Enrollment ID: I20220126002042 |
| Provider Name | Jessica Parker Goldberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073080727 PECOS PAC ID: 7214320134 Enrollment ID: I20220216002451 |
| Provider Name | Brianna Sigg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023763364 PECOS PAC ID: 2365837218 Enrollment ID: I20220311001927 |
| Provider Name | Hugh Armstrong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598147548 PECOS PAC ID: 1456746668 Enrollment ID: I20220324001047 |
| Provider Name | Jenna Daniele Gunnerson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174288302 PECOS PAC ID: 7618363581 Enrollment ID: I20220331001995 |
| Provider Name | Gao Chee Vang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992303655 PECOS PAC ID: 0446638787 Enrollment ID: I20220527001546 |
| Provider Name | Emily Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063027209 PECOS PAC ID: 3779965777 Enrollment ID: I20220808003136 |
| Provider Name | Jennifer Lynn Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558021568 PECOS PAC ID: 4789067513 Enrollment ID: I20220811002346 |
| Provider Name | Jason Jose Bendezu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992430698 PECOS PAC ID: 0446633036 Enrollment ID: I20220815001511 |
| Provider Name | Sarah M Duckson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457087785 PECOS PAC ID: 3173907045 Enrollment ID: I20220826002823 |
| Provider Name | Christopher Ray Wlaschin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609266584 PECOS PAC ID: 0143606038 Enrollment ID: I20220929002457 |
| Provider Name | Albertine Lara Shain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124756655 PECOS PAC ID: 5890171334 Enrollment ID: I20221006000568 |
| Provider Name | Mason R Nordman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679235899 PECOS PAC ID: 0648643775 Enrollment ID: I20230310000266 |
| Provider Name | Susan Eve Balto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174248025 PECOS PAC ID: 4880068717 Enrollment ID: I20230316000955 |
| Provider Name | Helena Catherine Lafave |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861165490 PECOS PAC ID: 4587021613 Enrollment ID: I20230606001142 |
| Provider Name | Daniel Alberto Perez Amparo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770278947 PECOS PAC ID: 3173982303 Enrollment ID: I20230706003538 |
| Provider Name | Jenna Dorschner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336803840 PECOS PAC ID: 1759745466 Enrollment ID: I20230914000375 |
| Provider Name | Rosie Shayna Math |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518558071 PECOS PAC ID: 6709240336 Enrollment ID: I20230914001435 |
| Provider Name | Mi Ja Kang Bergerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659086601 PECOS PAC ID: 9335503770 Enrollment ID: I20230918003667 |
| Provider Name | Patricia Ann Schulte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104423169 PECOS PAC ID: 1456706274 Enrollment ID: I20231016000556 |
| Provider Name | Habib Mogib Salama |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457041386 PECOS PAC ID: 5294181962 Enrollment ID: I20231101001309 |
| Provider Name | Rebeka Ellen Mcrad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073716759 PECOS PAC ID: 2062868755 Enrollment ID: I20231101001977 |
| Provider Name | Margaret Marie Skrypek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053191957 PECOS PAC ID: 1052768355 Enrollment ID: I20231108001152 |
| Provider Name | Kera Lynn Adeola |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649823816 PECOS PAC ID: 7517318496 Enrollment ID: I20240104001861 |
| Provider Name | Ann Christine Kellogg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205220316 PECOS PAC ID: 6103277249 Enrollment ID: I20240112002033 |
| Provider Name | Elise Nathalie Meger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538775143 PECOS PAC ID: 5597117531 Enrollment ID: I20240116001494 |
| Provider Name | Karen Elizabeth Lundin Pieper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851807655 PECOS PAC ID: 0244682136 Enrollment ID: I20240116003456 |
| Provider Name | Emily Coughlin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972110906 PECOS PAC ID: 4880046408 Enrollment ID: I20240119000899 |
| Provider Name | Elora Denise Riggs Lyksett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669105987 PECOS PAC ID: 5496107864 Enrollment ID: I20240122002046 |
| Provider Name | Rileigh Nicole Coyle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093395170 PECOS PAC ID: 1052764081 Enrollment ID: I20240126000116 |
| Provider Name | Tara Lebaron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124490453 PECOS PAC ID: 7113370016 Enrollment ID: I20240126002611 |
| Provider Name | Angela Rae Studt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447739552 PECOS PAC ID: 0840643771 Enrollment ID: I20240126003926 |
| Provider Name | Emily Ann Bastian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841589272 PECOS PAC ID: 8022461383 Enrollment ID: I20240202000870 |
| Provider Name | Andrea Elena Caro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770344095 PECOS PAC ID: 5092014506 Enrollment ID: I20240215000935 |
| Provider Name | Stephen Platt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740721778 PECOS PAC ID: 4284078239 Enrollment ID: I20240216004063 |
| Provider Name | David Walz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285004473 PECOS PAC ID: 2860836798 Enrollment ID: I20240220001254 |
| Provider Name | Dina Elias Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275938276 PECOS PAC ID: 2769827997 Enrollment ID: I20240228000516 |
| Provider Name | Megan Maureen Mcgregor |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821564725 PECOS PAC ID: 5991141525 Enrollment ID: I20240306001057 |
| Provider Name | Kristin Trettel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558126821 PECOS PAC ID: 8527404045 Enrollment ID: I20240306004439 |
| Provider Name | Lucy Elizabeth Dressen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841937653 PECOS PAC ID: 0941647184 Enrollment ID: I20240322002460 |
| Provider Name | Kayla Ferrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457113938 PECOS PAC ID: 0042657181 Enrollment ID: I20240325001735 |
| Provider Name | Melissa J Forth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598478851 PECOS PAC ID: 8022455179 Enrollment ID: I20240325002208 |
| Provider Name | Luke Yost |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003524364 PECOS PAC ID: 3476990532 Enrollment ID: I20240325002311 |
| Provider Name | Catherine Cich |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770155640 PECOS PAC ID: 1850739186 Enrollment ID: I20240405002059 |
| Provider Name | Robert Alan Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295458644 PECOS PAC ID: 7214376912 Enrollment ID: I20240415001189 |
| Provider Name | Elena Shaffer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376226068 PECOS PAC ID: 8820437239 Enrollment ID: I20240418001525 |
| Provider Name | Allison Winter Hable |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497336390 PECOS PAC ID: 6305285420 Enrollment ID: I20240422001837 |
| Provider Name | Le'handra D Lynch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285399360 PECOS PAC ID: 2961842745 Enrollment ID: I20240426000833 |
| Provider Name | Daniel Hoffman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922740620 PECOS PAC ID: 2062852619 Enrollment ID: I20240430000159 |
| Provider Name | Laurie A Moser |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1053550251 PECOS PAC ID: 1951741438 Enrollment ID: I20240501001193 |
| Provider Name | Liza N Meredith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407496516 PECOS PAC ID: 4082055439 Enrollment ID: I20240516000036 |
| Provider Name | Kathryn Wilder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326631417 PECOS PAC ID: 7214389196 Enrollment ID: I20240524002115 |
Futurebrain Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5240 W Lake Nokomis Pkwy, Minneapolis, MN 55417 Phone: 612-378-2363 Fax: 612-378-2363 | |
Phoenix Adolescent Outpatient Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 13th Ave Se, Minneapolis, MN 55414 Phone: 651-734-3268 Fax: 612-378-4886 | |
1-0 Granny's Helpful Hands, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 E Lake St, Minneapolis, MN 55407 Phone: 612-824-1177 | |
Community Empowerment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Washington Ave N, Minneapolis, MN 55401 Phone: 202-450-0351 | |
Resilient Intimacy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 812 E 48th St Ste 5, Minneapolis, MN 55417 Phone: 651-802-8302 | |
The Uptown Center For Psychotherapy Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3253 Humboldt Ave S, Minneapolis, MN 55408 Phone: 920-277-7923 | |
Hennepin County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Chicago Ave Ste 200, Minneapolis, MN 55404 Phone: 612-596-9438 Fax: 612-329-4500 |