| Minnesota Autism Center | |
|
5868 Baker Rd Minnetonka MN 55345-5903 | |
| (952) 767-4200 | |
| (952) 767-4211 |
| Full Name | Minnesota Autism Center |
|---|---|
| Speciality | Psychologist |
| Location | 5868 Baker Rd, Minnetonka, Minnesota |
| Authorized Official Name and Position | Shannon Kantrowitz (REVENUE CYLCE MANAGER) |
| Authorized Official Contact | 6127911767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Autism Center 5868 Baker Rd Minnetonka MN 55345-5903 Ph: (952) 767-4200 | Minnesota Autism Center 5868 Baker Rd Minnetonka MN 55345-5903 Ph: (952) 767-4200 |
| NPI Number | 1447348172 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 08/03/2022 |
| Certification Date | 08/03/2022 |
| Medicare PECOS PAC ID | 1153649009 |
|---|---|
| Medicare Enrollment ID | O20150406001591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447348172 | NPI | - | NPPES |
| 482401600 | Medicaid | MN | |
| 240999200 | Medicaid | MN | |
| 141D6FA | Other | MN | BCBS THERAPY BILLING |
| 034R2LA | Other | MN | BCBS ASSESS, DX, TESTING |
| Provider Name | Elene E Lindberg |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063897544 PECOS PAC ID: 7517254063 Enrollment ID: I20160927000973 |
| Provider Name | Jennifer Oeltjen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720374325 PECOS PAC ID: 3577842145 Enrollment ID: I20161123000029 |
| Provider Name | Sarah E Strobel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386186294 PECOS PAC ID: 7719264092 Enrollment ID: I20170516001126 |
| Provider Name | Clare Theresa Koezly Escobar |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528585411 PECOS PAC ID: 5991079253 Enrollment ID: I20170926000079 |
| Provider Name | Elizabeth A Rigstad |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639695992 PECOS PAC ID: 7618235078 Enrollment ID: I20171213002117 |
| Provider Name | Tracy M Caven |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1265931406 PECOS PAC ID: 5597019505 Enrollment ID: I20181109002355 |
| Provider Name | Breanna E Helminski |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780179515 PECOS PAC ID: 9638408974 Enrollment ID: I20190911001373 |
| Provider Name | Sarah Christie Monahan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487243093 PECOS PAC ID: 0840677241 Enrollment ID: I20220803002947 |
| Provider Name | Emily Bernardo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1346902095 PECOS PAC ID: 2567847353 Enrollment ID: I20220914002785 |
| Provider Name | Marina T Midthun |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932703782 PECOS PAC ID: 4183000557 Enrollment ID: I20221008000209 |
| Provider Name | Makenzie K Hurley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447985122 PECOS PAC ID: 3971979337 Enrollment ID: I20221026002509 |
| Provider Name | Sherri K Hollister |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649904061 PECOS PAC ID: 5294107272 Enrollment ID: I20230221002463 |
| Provider Name | Amanda J Andrews |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689379315 PECOS PAC ID: 0042675712 Enrollment ID: I20230502002166 |
| Provider Name | Anna T Haan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942851340 PECOS PAC ID: 1254797186 Enrollment ID: I20230519000814 |
| Provider Name | Elizabeth L Pouliot |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437867454 PECOS PAC ID: 3678930054 Enrollment ID: I20230530001730 |
| Provider Name | Peter T Simon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619666336 PECOS PAC ID: 3971962051 Enrollment ID: I20230707001227 |
| Provider Name | Elizabeth J Klocke |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811488323 PECOS PAC ID: 0547624710 Enrollment ID: I20230907001183 |
| Provider Name | Jovanna L Balquier |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992267520 PECOS PAC ID: 3971959792 Enrollment ID: I20231030002458 |
| Provider Name | Cody Remington Dunkley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881253656 PECOS PAC ID: 1658714050 Enrollment ID: I20240213000199 |
| Provider Name | Alli Laurel Ford |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184316937 PECOS PAC ID: 6002255759 Enrollment ID: I20240415003079 |
Christina Kress, Licsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12301 Whitewater Dr Ste 30, Minnetonka, MN 55343 Phone: 952-223-1300 | |
Deep Haven Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4300 Baker Rd, Minnetonka, MN 55343 Phone: 952-300-0556 | |
Mjh Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12800 Whitewater Dr Ste 100, Minnetonka, MN 55343 Phone: 763-306-9057 | |
Sanctuary Counseling & Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12800 Whitewater Dr, Minnetonka, MN 55343 Phone: 952-412-6997 | |
Relate Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5125 County Road 101 Ste 300, Minnetonka, MN 55345 Phone: 952-230-3958 Fax: 952-932-9827 | |
Lehrke Therapeutic Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14451 Highway 7 Ste 218&219, Minnetonka, MN 55345 Phone: 952-529-4302 | |
West Metro Psychiatry, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13911 Ridgedale Dr Ste 255, Minnetonka, MN 55305 Phone: 952-546-1225 |