Midwest Center For Personal & Family Development, P.a. | |
2550 University Ave W Suite 435s Saint Paul MN 55114-1052 | |
(651) 647-1900 | |
Not Available |
Full Name | Midwest Center For Personal & Family Development, P.a. |
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Speciality | Clinic/Center |
Location | 2550 University Ave W, Saint Paul, Minnesota |
Authorized Official Name and Position | Timothy J Quesnell (OWNER) |
Authorized Official Contact | 6516471900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Midwest Center For Personal & Family Development, P.a. 2550 University Ave W Suite 435s Saint Paul MN 55114-1052 Ph: (651) 647-1900 | Midwest Center For Personal & Family Development, P.a. 2550 University Ave W Suite 435s Saint Paul MN 55114-1052 Ph: (651) 647-1900 |
NPI Number | 1285730903 |
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Provider Enumeration Date | 09/16/2006 |
Last Update Date | 08/31/2023 |
Certification Date | 08/31/2023 |
Medicare PECOS PAC ID | 3173436185 |
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Medicare Enrollment ID | O20031106000433 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285730903 | NPI | - | NPPES |
844943100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Annette L Jacob |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174629869 PECOS PAC ID: 0941216717 Enrollment ID: I20060302000620 |
Provider Name | Susan M Banal |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629190814 PECOS PAC ID: 0446335251 Enrollment ID: I20080304000397 |
Provider Name | Linda N Oakes |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1295840908 PECOS PAC ID: 4587708441 Enrollment ID: I20100216000990 |
Provider Name | David M Brings |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1427163252 PECOS PAC ID: 7810031697 Enrollment ID: I20100217000230 |
Provider Name | Rachel R Cain |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750448148 PECOS PAC ID: 0840467577 Enrollment ID: I20120120000866 |
Provider Name | Dietrah C Hiatt |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689722985 PECOS PAC ID: 1052578895 Enrollment ID: I20120206000442 |
Provider Name | Rebecca L Pihl |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689901670 PECOS PAC ID: 4587816905 Enrollment ID: I20121212000065 |
Provider Name | Brittany A Barkholtz |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689280323 PECOS PAC ID: 7315357753 Enrollment ID: I20201113000990 |
Provider Name | Agnes Jackai |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891403135 PECOS PAC ID: 4486013653 Enrollment ID: I20231005003509 |
Provider Name | Colleen Garry Marschall |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1447647797 PECOS PAC ID: 6507217031 Enrollment ID: I20240109004672 |
Provider Name | Mary J Faustgen |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1790880821 PECOS PAC ID: 0648621003 Enrollment ID: I20240110001247 |
Provider Name | Alison D Whiteaker |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1700405198 PECOS PAC ID: 5991156358 Enrollment ID: I20240110001340 |
Provider Name | Kathryn M Weise |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1114431376 PECOS PAC ID: 3870944960 Enrollment ID: I20240112003764 |
Provider Name | Anne R Kunesh Carney |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1487769394 PECOS PAC ID: 9931551645 Enrollment ID: I20240118001716 |
Provider Name | Molly K Kehr |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1336452283 PECOS PAC ID: 3870942485 Enrollment ID: I20240205000925 |
Provider Name | Katherine L Schliesman |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1194282210 PECOS PAC ID: 3779926738 Enrollment ID: I20240206003833 |
Provider Name | Kristy L Costello |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1871989897 PECOS PAC ID: 1759733595 Enrollment ID: I20240216004430 |
Provider Name | Marilyn J Olson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1083719959 PECOS PAC ID: 9436595634 Enrollment ID: I20240311002574 |
Provider Name | Jill E Carlson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1831509850 PECOS PAC ID: 7012368244 Enrollment ID: I20240327002640 |
Provider Name | Lisa K Perlock |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1417386764 PECOS PAC ID: 1759732977 Enrollment ID: I20240327003588 |
Provider Name | Alisha M Beyer |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1780988394 PECOS PAC ID: 8426497181 Enrollment ID: I20240415003216 |
Provider Name | Suzan S Hurlbut |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1730284795 PECOS PAC ID: 3375994452 Enrollment ID: I20240510000874 |
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