| Minnesota Online Counseling Llc | |
|
1310 Highway 96 E Suite 104c White Bear Lake MN 55110-3624 | |
| (651) 336-6942 | |
| Not Available |
| Full Name | Minnesota Online Counseling Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1310 Highway 96 E, White Bear Lake, Minnesota |
| Authorized Official Name and Position | David Halper (MANAGING MEMBER) |
| Authorized Official Contact | 6513366942 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Online Counseling Llc 6808 Upper 28th St N Oakdale MN 55128-3833 Ph: (651) 336-6942 | Minnesota Online Counseling Llc 1310 Highway 96 E Suite 104c White Bear Lake MN 55110-3624 Ph: (651) 336-6942 |
| NPI Number | 1609255694 |
|---|---|
| Provider Enumeration Date | 05/22/2015 |
| Last Update Date | 05/22/2015 |
| Medicare PECOS PAC ID | 3072849207 |
|---|---|
| Medicare Enrollment ID | O20190725003486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609255694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Mary Young Sa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912095761 PECOS PAC ID: 6608815154 Enrollment ID: I20050426000120 |
| Provider Name | Joanne S Kurzmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316210255 PECOS PAC ID: 6002134962 Enrollment ID: I20150406001815 |
| Provider Name | David Phillip Halper |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1316003874 PECOS PAC ID: 2264564160 Enrollment ID: I20240408000133 |
| Provider Name | Sara J Bowd |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154857464 PECOS PAC ID: 9638518178 Enrollment ID: I20240417002460 |
| Provider Name | Ryan Gay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275958266 PECOS PAC ID: 4789128919 Enrollment ID: I20240628002379 |
| Provider Name | Emily Verna Bell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740822303 PECOS PAC ID: 3375087414 Enrollment ID: I20240701002236 |
| Provider Name | Kathryn L Schesso |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1356422760 PECOS PAC ID: 1557805116 Enrollment ID: I20240708000552 |
| Provider Name | Brittany Alise Krippner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902551559 PECOS PAC ID: 8527503861 Enrollment ID: I20240711001539 |
| Provider Name | Michelle Rowlison |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811984826 PECOS PAC ID: 8224402466 Enrollment ID: I20240807002154 |
| Provider Name | Jessica Rose Cowan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366216988 PECOS PAC ID: 2163962135 Enrollment ID: I20240905003058 |
| Provider Name | Faye Wallus |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063950764 PECOS PAC ID: 0749714921 Enrollment ID: I20241111001628 |
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