| Alluma, Inc. | |
|
603 Bruce St Crookston MN 56716 | |
| (218) 281-3940 | |
| (218) 281-6261 |
| Full Name | Alluma, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 603 Bruce St, Crookston, Minnesota |
| Authorized Official Name and Position | Shauna R Reitmeier (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2182813940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alluma, Inc. 603 Bruce Street Po Box 603 Crookston MN 56716-0603 Ph: (218) 281-3940 | Alluma, Inc. 603 Bruce St Crookston MN 56716 Ph: (218) 281-3940 |
| NPI Number | 1508835133 |
|---|---|
| Provider Enumeration Date | 03/16/2006 |
| Last Update Date | 08/20/2021 |
| Certification Date | 08/20/2021 |
| Medicare PECOS PAC ID | 6709787609 |
|---|---|
| Medicare Enrollment ID | O20040302000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508835133 | NPI | - | NPPES |
| 054855300 | Medicaid | MN | |
| 93272 | Other | PREFERRED ONE | |
| CC6573 | Other | RAILROAD MEDICARE | |
| 116586 | Other | MN | UCARE MINNESOTA |
| 1520165 | Other | UBH MEDICA | |
| 63592NO | Other | MN | BCBS BHSI |
| 31167 | Other | HEALTH PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 8017741MHC (Minnesota) | Primary |
| Provider Name | Shannon L Kronlund |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598734147 PECOS PAC ID: 7911936935 Enrollment ID: I20050810000723 |
| Provider Name | Cheri L Skavlem |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487611737 PECOS PAC ID: 9638190317 Enrollment ID: I20051208000920 |
| Provider Name | Paul O Michels |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265586440 PECOS PAC ID: 6800898362 Enrollment ID: I20070213000154 |
| Provider Name | Thea L Rothmann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679769236 PECOS PAC ID: 1254417850 Enrollment ID: I20080324000406 |
| Provider Name | Christopher J Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942438239 PECOS PAC ID: 7810043759 Enrollment ID: I20090918000230 |
| Provider Name | Abby L Steer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093014508 PECOS PAC ID: 1759566938 Enrollment ID: I20110503000776 |
| Provider Name | Michael R Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619936739 PECOS PAC ID: 9234314378 Enrollment ID: I20110504000734 |
| Provider Name | Janet M Denison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568639169 PECOS PAC ID: 8921278136 Enrollment ID: I20110825000644 |
| Provider Name | Catherine J Standfuss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477808210 PECOS PAC ID: 2264684653 Enrollment ID: I20121211000348 |
| Provider Name | Erika M Severson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770916025 PECOS PAC ID: 5597993022 Enrollment ID: I20140108001067 |
| Provider Name | Nancy D Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881015444 PECOS PAC ID: 9638300239 Enrollment ID: I20140325000515 |
| Provider Name | Sadaf Islam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760626550 PECOS PAC ID: 7719107655 Enrollment ID: I20150618002061 |
| Provider Name | Janelle L Doyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346613304 PECOS PAC ID: 8325345960 Enrollment ID: I20160328001003 |
| Provider Name | Amy E Bartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639477797 PECOS PAC ID: 7810254596 Enrollment ID: I20171205002678 |
| Provider Name | Matthew R Keller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336664614 PECOS PAC ID: 5799048500 Enrollment ID: I20180409002074 |
| Provider Name | Angela M Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134574726 PECOS PAC ID: 4284987934 Enrollment ID: I20181025001720 |
| Provider Name | Jenna L Holtz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215461942 PECOS PAC ID: 8820334352 Enrollment ID: I20190103003259 |
| Provider Name | Janelle B Artmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902369275 PECOS PAC ID: 2062755580 Enrollment ID: I20190523001249 |
| Provider Name | Mandy L Lundby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770047367 PECOS PAC ID: 2062745102 Enrollment ID: I20190605001400 |
| Provider Name | Elizabeth A Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891341319 PECOS PAC ID: 4981934387 Enrollment ID: I20190927001756 |
| Provider Name | Veronica L Harsh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255371894 PECOS PAC ID: 8820076250 Enrollment ID: I20200306000838 |
| Provider Name | Alex Lee Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013462738 PECOS PAC ID: 1658659081 Enrollment ID: I20201109002149 |
| Provider Name | Nkechi A Saleh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053869750 PECOS PAC ID: 5991085623 Enrollment ID: I20210202001019 |
| Provider Name | Christine Michelle Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265042923 PECOS PAC ID: 0244659530 Enrollment ID: I20210809002417 |
| Provider Name | Rachel L Winter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114598414 PECOS PAC ID: 8224434626 Enrollment ID: I20210910000367 |
| Provider Name | Stephanie Kaitlyn Philyaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144999137 PECOS PAC ID: 3678971850 Enrollment ID: I20211004000820 |
| Provider Name | Jessica Nichole Shockman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821762907 PECOS PAC ID: 7517365679 Enrollment ID: I20211005000791 |
| Provider Name | Aaron Douglass Muir |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164193983 PECOS PAC ID: 9234537036 Enrollment ID: I20211008001126 |
| Provider Name | Jawad Ahmad Daud |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1073826368 PECOS PAC ID: 1254717515 Enrollment ID: I20221011000249 |
| Provider Name | Casandra Kay Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164107660 PECOS PAC ID: 4385003508 Enrollment ID: I20230706003001 |
| Provider Name | Elizabeth Rae Schmit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528747359 PECOS PAC ID: 7911369954 Enrollment ID: I20230808003157 |
| Provider Name | Kate Marie Overgaard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689354664 PECOS PAC ID: 8527422237 Enrollment ID: I20230914000536 |
| Provider Name | Tricia Jeanne Hellerud |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205025244 PECOS PAC ID: 7012363815 Enrollment ID: I20231031002050 |
| Provider Name | Tara Elizabeth Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851611222 PECOS PAC ID: 0446607477 Enrollment ID: I20231113000726 |
| Provider Name | Shavon Na'sha Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447848296 PECOS PAC ID: 2163801465 Enrollment ID: I20231220001730 |
| Provider Name | Amelia Marie Ganyo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508219668 PECOS PAC ID: 3577913953 Enrollment ID: I20231227002009 |
| Provider Name | Brianne Christine Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700230257 PECOS PAC ID: 3274983655 Enrollment ID: I20231227002128 |
| Provider Name | Lindsey Young |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245711720 PECOS PAC ID: 6204241409 Enrollment ID: I20231227002243 |
| Provider Name | Lisa Hofstad |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902496029 PECOS PAC ID: 1153736996 Enrollment ID: I20231227003104 |
| Provider Name | Valerie Wagner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184191066 PECOS PAC ID: 0446669022 Enrollment ID: I20231228002042 |
| Provider Name | Carrie Serna |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679897383 PECOS PAC ID: 1456701770 Enrollment ID: I20231229000294 |
| Provider Name | Shauna R Reitmeier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134997141 PECOS PAC ID: 0941442545 Enrollment ID: I20240109000982 |
| Provider Name | Lauren Clay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184064164 PECOS PAC ID: 5193067064 Enrollment ID: I20240124003447 |
| Provider Name | Cassie Ann Subbert |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083158778 PECOS PAC ID: 0749633667 Enrollment ID: I20240126003543 |
| Provider Name | Rachael Christine Herbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316553209 PECOS PAC ID: 2961845342 Enrollment ID: I20240213002886 |
| Provider Name | Kayla Marie Henson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306297619 PECOS PAC ID: 8729425483 Enrollment ID: I20240318002753 |
Northwestern Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 Bruce St, Crookston, MN 56716 Phone: 218-281-3940 | |
Calming Waters Therapy Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 529 Spruce Ln, Crookston, MN 56716 Phone: 218-280-1250 | |
Revive Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 W Robert St Ste 2b, Crookston, MN 56716 Phone: 218-289-7023 | |
Prairie Psychological Services Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 W Fletcher St, Crookston, MN 56716 Phone: 281-281-2117 |