| Nystrom & Associates, Ltd | |
|
1900 Silver Lake Rd Nw Suite 110 New Brighton MN 55112-1786 | |
| (651) 628-9566 | |
| (651) 628-0411 |
| Full Name | Nystrom & Associates, Ltd |
|---|---|
| Speciality | Social Worker |
| Location | 1900 Silver Lake Rd Nw, New Brighton, Minnesota |
| Authorized Official Name and Position | Ann Eiden (VP OF OPERATIONS) |
| Authorized Official Contact | 6513791750 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nystrom & Associates, Ltd 1900 Silver Lake Rd Nw Suite 110 New Brighton MN 55112-1786 Ph: (651) 628-9566 | Nystrom & Associates, Ltd 1900 Silver Lake Rd Nw Suite 110 New Brighton MN 55112-1786 Ph: (651) 628-9566 |
| NPI Number | 1396750188 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 03/02/2016 |
| Medicare PECOS PAC ID | 6406752492 |
|---|---|
| Medicare Enrollment ID | O20031210000592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396750188 | NPI | - | NPPES |
| 001857100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 06197 (Minnesota) | Primary |
| 106H00000X | Marriage & Family Therapist | 0145 (Minnesota) | Secondary |
| Provider Name | Samantha A Huguelet |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1093777955 PECOS PAC ID: 0648183053 Enrollment ID: I20031111000722 |
| Provider Name | Jana Reinhart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366475352 PECOS PAC ID: 6406752120 Enrollment ID: I20031211000765 |
| Provider Name | Luann M Klindworth Erickson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174560932 PECOS PAC ID: 8426940503 Enrollment ID: I20040325000493 |
| Provider Name | Barbara B Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144391665 PECOS PAC ID: 2668450834 Enrollment ID: I20040713000867 |
| Provider Name | Eric A Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750464640 PECOS PAC ID: 5991783185 Enrollment ID: I20040713001027 |
| Provider Name | Steven Lesk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912090036 PECOS PAC ID: 4981683968 Enrollment ID: I20040714000786 |
| Provider Name | Eric W Goad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083690689 PECOS PAC ID: 2961482633 Enrollment ID: I20040722001135 |
| Provider Name | David L Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902913239 PECOS PAC ID: 0143291732 Enrollment ID: I20040805000841 |
| Provider Name | Jonathan C Uecker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659334092 PECOS PAC ID: 5193786614 Enrollment ID: I20041019000742 |
| Provider Name | Rose A Hoene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538199872 PECOS PAC ID: 2062479660 Enrollment ID: I20041215000646 |
| Provider Name | Theresa M Carr |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1346269602 PECOS PAC ID: 4082662184 Enrollment ID: I20050105000686 |
| Provider Name | Carlos H Schenck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114942828 PECOS PAC ID: 0547159964 Enrollment ID: I20050105001090 |
| Provider Name | Anupama Chauhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548345655 PECOS PAC ID: 1052364783 Enrollment ID: I20050223000040 |
| Provider Name | Laura L Stresow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306833348 PECOS PAC ID: 7012806581 Enrollment ID: I20050303000119 |
| Provider Name | Joel A Schirvar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073593620 PECOS PAC ID: 9335187947 Enrollment ID: I20050422000598 |
| Provider Name | Sarah Gross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134146749 PECOS PAC ID: 3779512231 Enrollment ID: I20050805000222 |
| Provider Name | Stanislav Kruglikov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316048986 PECOS PAC ID: 2860414281 Enrollment ID: I20051229000332 |
| Provider Name | Matthew C Mcclure |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174869648 PECOS PAC ID: 4789608563 Enrollment ID: I20060119000450 |
| Provider Name | Linnea A Ritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912973892 PECOS PAC ID: 8820056732 Enrollment ID: I20060410000255 |
| Provider Name | Jackie D Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801807235 PECOS PAC ID: 7315957420 Enrollment ID: I20060503000274 |
| Provider Name | Zurya S Anjum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376581785 PECOS PAC ID: 7618989641 Enrollment ID: I20060612000233 |
| Provider Name | Gloria M Andreasen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811099138 PECOS PAC ID: 2961407721 Enrollment ID: I20061017000078 |
| Provider Name | Jane M Sulzle |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1497852313 PECOS PAC ID: 9638176928 Enrollment ID: I20061030000329 |
| Provider Name | Ann Catherine Wheaton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578666590 PECOS PAC ID: 0042219859 Enrollment ID: I20061205000493 |
| Provider Name | Tiffany A Hurt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144240078 PECOS PAC ID: 3971503376 Enrollment ID: I20070109000470 |
| Provider Name | Pamela S Walls |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1962573394 PECOS PAC ID: 3476554338 Enrollment ID: I20070122000112 |
| Provider Name | Richard A Blackburn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134293400 PECOS PAC ID: 0345242657 Enrollment ID: I20070215000025 |
| Provider Name | Mary Ann Schorn-rhoda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417010257 PECOS PAC ID: 0941303002 Enrollment ID: I20070309000158 |
| Provider Name | Janee M Anez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396826434 PECOS PAC ID: 4880799840 Enrollment ID: I20070419000350 |
| Provider Name | Denay Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376505131 PECOS PAC ID: 7113998774 Enrollment ID: I20070515000497 |
| Provider Name | Connie R Semmelroth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265513998 PECOS PAC ID: 3577660109 Enrollment ID: I20070516000320 |
| Provider Name | Heather L Bodurtha |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679774673 PECOS PAC ID: 8729187331 Enrollment ID: I20070622000270 |
| Provider Name | Sonya B Schroeder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225117377 PECOS PAC ID: 2163513011 Enrollment ID: I20070807000070 |
| Provider Name | Brian A Nystrom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326075813 PECOS PAC ID: 8729984737 Enrollment ID: I20071010000263 |
| Provider Name | Susan M Sawyer-demaris |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1508919853 PECOS PAC ID: 5395822886 Enrollment ID: I20080408000627 |
| Provider Name | Donna P Pattie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275578981 PECOS PAC ID: 0042236432 Enrollment ID: I20080513000779 |
| Provider Name | Leo Passov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437359882 PECOS PAC ID: 6800961285 Enrollment ID: I20080819000921 |
| Provider Name | Heidi Hathaway |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780755256 PECOS PAC ID: 6204902240 Enrollment ID: I20080827000592 |
| Provider Name | John B Glass |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598793804 PECOS PAC ID: 3577626266 Enrollment ID: I20090106000791 |
| Provider Name | Melissa M Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215176003 PECOS PAC ID: 5193873370 Enrollment ID: I20090427000530 |
| Provider Name | Kathryn M Kaminski Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821196882 PECOS PAC ID: 1456409135 Enrollment ID: I20090507000255 |
| Provider Name | Mary Ann Schorn-rhoda |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1417010257 PECOS PAC ID: 0941303002 Enrollment ID: I20090617000266 |
| Provider Name | Christine M Dresel |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1306089982 PECOS PAC ID: 9234280900 Enrollment ID: I20090619000581 |
| Provider Name | Kathleen A Spiry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043310816 PECOS PAC ID: 9638223639 Enrollment ID: I20090810000469 |
| Provider Name | Anita Thampy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023205465 PECOS PAC ID: 8022162353 Enrollment ID: I20090820000335 |
| Provider Name | Brian R Koller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043295223 PECOS PAC ID: 7012054869 Enrollment ID: I20091027000593 |
| Provider Name | Lynnette M Fischer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922231935 PECOS PAC ID: 7517005234 Enrollment ID: I20091117000270 |
| Provider Name | Tami D Lindell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033364245 PECOS PAC ID: 5092855601 Enrollment ID: I20100114000565 |
| Provider Name | Megan A Septer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114043627 PECOS PAC ID: 2567506421 Enrollment ID: I20100216001027 |
| Provider Name | Ronda A Lapointe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649412255 PECOS PAC ID: 3678602281 Enrollment ID: I20100519000966 |
| Provider Name | Kathryn A Weintz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306163936 PECOS PAC ID: 1951431063 Enrollment ID: I20100616000951 |
| Provider Name | Susan D Bugel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972820264 PECOS PAC ID: 0840322699 Enrollment ID: I20100714001047 |
| Provider Name | Terry L Evers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194042663 PECOS PAC ID: 3274666334 Enrollment ID: I20100727000577 |
| Provider Name | Laura L Voldahl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518904911 PECOS PAC ID: 3072638444 Enrollment ID: I20100909000515 |
| Provider Name | Dawn M Kuntz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437197084 PECOS PAC ID: 9234254616 Enrollment ID: I20100909000545 |
| Provider Name | Roy J Sutherland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073820379 PECOS PAC ID: 3173702172 Enrollment ID: I20110124000294 |
| Provider Name | Elizabeth A Evenson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386967263 PECOS PAC ID: 1355526351 Enrollment ID: I20110505000607 |
| Provider Name | Kara L Nachtsheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790091700 PECOS PAC ID: 4082890298 Enrollment ID: I20110523000528 |
| Provider Name | Latina E Siers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588614499 PECOS PAC ID: 2365616356 Enrollment ID: I20111201000631 |
| Provider Name | Rebecca K Neeck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659655884 PECOS PAC ID: 2163698382 Enrollment ID: I20120110000112 |
| Provider Name | Latricia A Alt-peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467611657 PECOS PAC ID: 2365619111 Enrollment ID: I20120118000704 |
| Provider Name | Karin Sharpe Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720349830 PECOS PAC ID: 2163686460 Enrollment ID: I20120619000036 |
| Provider Name | Heather R Teske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770883993 PECOS PAC ID: 7315102944 Enrollment ID: I20120706000034 |
| Provider Name | Colette Rose Neron Ellenbecker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912267287 PECOS PAC ID: 7911153184 Enrollment ID: I20120804000065 |
| Provider Name | Arielah Miriam King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225392764 PECOS PAC ID: 1557517729 Enrollment ID: I20120804000068 |
| Provider Name | Lindsey A Werner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417217837 PECOS PAC ID: 7416108857 Enrollment ID: I20121113000465 |
| Provider Name | Melanie Heu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912141466 PECOS PAC ID: 6406007541 Enrollment ID: I20121119000236 |
| Provider Name | Alison Spano Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841541448 PECOS PAC ID: 5698927267 Enrollment ID: I20121205000185 |
| Provider Name | Martha H Marvin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518256494 PECOS PAC ID: 6709039548 Enrollment ID: I20130104000065 |
| Provider Name | Jane C Royse Roskowski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932443009 PECOS PAC ID: 1153575923 Enrollment ID: I20130201000066 |
| Provider Name | Mary Katherine Cox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962759175 PECOS PAC ID: 5496900482 Enrollment ID: I20130222000446 |
| Provider Name | Vicky L Therkildsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598093536 PECOS PAC ID: 1052454436 Enrollment ID: I20130227000601 |
| Provider Name | Ajda Kay Lommen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760724751 PECOS PAC ID: 5294970976 Enrollment ID: I20130329000059 |
| Provider Name | Lora R Bagur |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518262377 PECOS PAC ID: 8224274212 Enrollment ID: I20130417000585 |
| Provider Name | Kathlyn Jeannette Bergeron |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1720420243 PECOS PAC ID: 5395987820 Enrollment ID: I20130813000943 |
| Provider Name | Andrea Jean Nelsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043442700 PECOS PAC ID: 0749423770 Enrollment ID: I20130823000519 |
| Provider Name | Patricia F Brown |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1568741502 PECOS PAC ID: 9931342789 Enrollment ID: I20130827000734 |
| Provider Name | Shannon M Torborg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669627972 PECOS PAC ID: 7517101181 Enrollment ID: I20130920000591 |
| Provider Name | Lynn M Heidemann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285970004 PECOS PAC ID: 1153556683 Enrollment ID: I20131108000711 |
| Provider Name | Jody A Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407009384 PECOS PAC ID: 5597991331 Enrollment ID: I20131126001145 |
| Provider Name | Tamera D Graziano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841578036 PECOS PAC ID: 1557524394 Enrollment ID: I20140107000724 |
| Provider Name | Amber Schneider |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184036329 PECOS PAC ID: 4284858564 Enrollment ID: I20140605001969 |
| Provider Name | Morgen Juel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467855155 PECOS PAC ID: 5991927121 Enrollment ID: I20141104000274 |
| Provider Name | Joy Fleming |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548663925 PECOS PAC ID: 6103048053 Enrollment ID: I20141110002437 |
| Provider Name | Christina Staebell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891199378 PECOS PAC ID: 3274855036 Enrollment ID: I20141204002343 |
| Provider Name | Lacy A Osborne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003211400 PECOS PAC ID: 5597087130 Enrollment ID: I20141209002279 |
| Provider Name | Marie J Sund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346645355 PECOS PAC ID: 2062736077 Enrollment ID: I20150122002156 |
| Provider Name | Amy L Swingle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649678848 PECOS PAC ID: 6204152952 Enrollment ID: I20150224001416 |
| Provider Name | Laura M Szondy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639574577 PECOS PAC ID: 7214253095 Enrollment ID: I20150313002067 |
| Provider Name | Lindsay Jan Schwab-peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659777399 PECOS PAC ID: 3870810872 Enrollment ID: I20150401001630 |
| Provider Name | Elizabeth K Drewitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518038884 PECOS PAC ID: 7911225669 Enrollment ID: I20150409001954 |
| Provider Name | Leanne E Rohlf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427440767 PECOS PAC ID: 0042539520 Enrollment ID: I20150505001476 |
| Provider Name | Mary Bigham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245554161 PECOS PAC ID: 0547573685 Enrollment ID: I20150720001272 |
| Provider Name | Mehr N Karamat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518253285 PECOS PAC ID: 2567685209 Enrollment ID: I20150724011520 |
| Provider Name | Jean K Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346616281 PECOS PAC ID: 2860708153 Enrollment ID: I20150901002507 |
| Provider Name | Julie A Larose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639550817 PECOS PAC ID: 5294045159 Enrollment ID: I20151104001721 |
| Provider Name | Paula Pridie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356711121 PECOS PAC ID: 7315257961 Enrollment ID: I20151110002762 |
| Provider Name | Donald L Bernovich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225283492 PECOS PAC ID: 1254632177 Enrollment ID: I20151218001637 |
| Provider Name | Doris Moylan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588039135 PECOS PAC ID: 2365743911 Enrollment ID: I20151223001892 |
| Provider Name | Kimberly Dwinnell-dillon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497112254 PECOS PAC ID: 9335445279 Enrollment ID: I20160302002620 |
| Provider Name | Joseph J Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366815227 PECOS PAC ID: 4587962519 Enrollment ID: I20160407001176 |
| Provider Name | Jennifer L Czischke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255795969 PECOS PAC ID: 0941509541 Enrollment ID: I20160503002400 |
| Provider Name | Colleen M Gunning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376998229 PECOS PAC ID: 7810286028 Enrollment ID: I20160511001272 |
| Provider Name | Caroline Gourley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336508951 PECOS PAC ID: 0749579837 Enrollment ID: I20160512001304 |
| Provider Name | Benjamin Dieffenbach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467809624 PECOS PAC ID: 0244520716 Enrollment ID: I20160613001319 |
| Provider Name | Angela Khalar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831549260 PECOS PAC ID: 3779875356 Enrollment ID: I20160630001772 |
| Provider Name | Deborah J Cleveland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760833198 PECOS PAC ID: 7517251770 Enrollment ID: I20160810001964 |
| Provider Name | Kathleen Tresness |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598015786 PECOS PAC ID: 4981833340 Enrollment ID: I20160817002977 |
| Provider Name | Ryan Zinken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093262065 PECOS PAC ID: 9830486133 Enrollment ID: I20160930000958 |
| Provider Name | Egle P Otto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487100384 PECOS PAC ID: 9032407028 Enrollment ID: I20161006001134 |
| Provider Name | Ian Skare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881147106 PECOS PAC ID: 7416235478 Enrollment ID: I20161025002717 |
| Provider Name | Charles Sadder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730621814 PECOS PAC ID: 9739469909 Enrollment ID: I20161205001092 |
| Provider Name | Kathleen Flynn Higby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255358834 PECOS PAC ID: 6507146727 Enrollment ID: I20161206000505 |
| Provider Name | Asisat O Ashagbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801343843 PECOS PAC ID: 4284915638 Enrollment ID: I20161227001287 |
| Provider Name | Aaron Means |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003369737 PECOS PAC ID: 6608158928 Enrollment ID: I20170123000987 |
| Provider Name | Cindi Brockhaus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972955268 PECOS PAC ID: 8022390350 Enrollment ID: I20170123001104 |
| Provider Name | Lauren N Uslinov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043500192 PECOS PAC ID: 5597079301 Enrollment ID: I20170209000694 |
| Provider Name | Amanda L Johnson Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417494998 PECOS PAC ID: 4587947999 Enrollment ID: I20170209001026 |
| Provider Name | Candis S Astolfi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760710784 PECOS PAC ID: 1456646538 Enrollment ID: I20170210001500 |
| Provider Name | Julie Clausen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912376625 PECOS PAC ID: 0840509121 Enrollment ID: I20170301001660 |
| Provider Name | Sarah Myer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114465135 PECOS PAC ID: 0345524443 Enrollment ID: I20170309002307 |
| Provider Name | Susan Cuny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225576101 PECOS PAC ID: 7214211317 Enrollment ID: I20170309002509 |
| Provider Name | Barbara Bindgen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285187757 PECOS PAC ID: 9739465832 Enrollment ID: I20170404000030 |
| Provider Name | Wendy R Olson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467984484 PECOS PAC ID: 2163709296 Enrollment ID: I20170427001599 |
| Provider Name | Laura K Goraczkowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831624030 PECOS PAC ID: 1052688611 Enrollment ID: I20170602000038 |
| Provider Name | Lynn Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881046282 PECOS PAC ID: 3779857917 Enrollment ID: I20170926004140 |
| Provider Name | Daniel Hinderaker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467908277 PECOS PAC ID: 8628334687 Enrollment ID: I20171107001522 |
| Provider Name | Kristen L Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962955302 PECOS PAC ID: 4981962396 Enrollment ID: I20171212002638 |
| Provider Name | Britne E Haasch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548771975 PECOS PAC ID: 1153689195 Enrollment ID: I20171220000506 |
| Provider Name | Elizabeth K Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801313283 PECOS PAC ID: 7911266556 Enrollment ID: I20180105000658 |
| Provider Name | Patty-jo Katherine Mantel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508376732 PECOS PAC ID: 3779842653 Enrollment ID: I20180123000589 |
| Provider Name | Kathryn M Moser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164975793 PECOS PAC ID: 7618237256 Enrollment ID: I20180131000068 |
| Provider Name | Jason S Griswold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265968739 PECOS PAC ID: 3375803422 Enrollment ID: I20180209000352 |
| Provider Name | Susan Rose Gran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669812319 PECOS PAC ID: 6406117266 Enrollment ID: I20180219002697 |
| Provider Name | Teyent Germa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962853960 PECOS PAC ID: 8921360827 Enrollment ID: I20180312002129 |
| Provider Name | Mary K English |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487951851 PECOS PAC ID: 4981966512 Enrollment ID: I20180320001556 |
| Provider Name | Lacie L Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578893517 PECOS PAC ID: 9335401389 Enrollment ID: I20180403000584 |
| Provider Name | Rosaire P Daigle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376995936 PECOS PAC ID: 4183987274 Enrollment ID: I20180425000801 |
| Provider Name | Andrew T Mackey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598208308 PECOS PAC ID: 6709141260 Enrollment ID: I20180604001768 |
| Provider Name | Wayne J Luebbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720308943 PECOS PAC ID: 3577818467 Enrollment ID: I20180618001403 |
| Provider Name | Michael C Ernst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972096329 PECOS PAC ID: 7416205901 Enrollment ID: I20180731001142 |
| Provider Name | Julie A Munoz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780123828 PECOS PAC ID: 1951659713 Enrollment ID: I20180810000452 |
| Provider Name | Rachel B State Adelman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912132101 PECOS PAC ID: 1951533496 Enrollment ID: I20180811000110 |
| Provider Name | Carissa Brandt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174078455 PECOS PAC ID: 8224388483 Enrollment ID: I20180910000671 |
| Provider Name | Amy J Schwab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013493345 PECOS PAC ID: 1850641978 Enrollment ID: I20180911000233 |
| Provider Name | Coleen R Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396237764 PECOS PAC ID: 5496005456 Enrollment ID: I20180912002310 |
| Provider Name | Shannon L Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174923585 PECOS PAC ID: 0143442566 Enrollment ID: I20180912002325 |
| Provider Name | Shauna L Papenbrook |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780165860 PECOS PAC ID: 8224380589 Enrollment ID: I20181015002169 |
| Provider Name | Jennifer J Hammes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184178394 PECOS PAC ID: 2769734987 Enrollment ID: I20181016001800 |
| Provider Name | Katherine R Haberkorn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013401546 PECOS PAC ID: 0143572305 Enrollment ID: I20181016003722 |
| Provider Name | Ikenna Obasi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750649455 PECOS PAC ID: 9739337668 Enrollment ID: I20181017001377 |
| Provider Name | Susan J Mccammon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699728816 PECOS PAC ID: 5496008500 Enrollment ID: I20181018002757 |
| Provider Name | Krista A Koshiol |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659853737 PECOS PAC ID: 5193078624 Enrollment ID: I20181030001274 |
| Provider Name | Jessica Bordenave |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023500113 PECOS PAC ID: 7315281839 Enrollment ID: I20181210002039 |
| Provider Name | Lindsay Allyn Yates Plumer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023564887 PECOS PAC ID: 6608112842 Enrollment ID: I20190109002286 |
| Provider Name | Kami Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518486018 PECOS PAC ID: 6305103268 Enrollment ID: I20190115001543 |
| Provider Name | Jessica C Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487100343 PECOS PAC ID: 2668710153 Enrollment ID: I20190207001717 |
| Provider Name | Jane M Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992223697 PECOS PAC ID: 9032457130 Enrollment ID: I20190215000566 |
| Provider Name | Tina S Thakrar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477813061 PECOS PAC ID: 5092944470 Enrollment ID: I20190404001110 |
| Provider Name | Donna M Brengman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306010053 PECOS PAC ID: 9032450499 Enrollment ID: I20190411002085 |
| Provider Name | Hilary T Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437685427 PECOS PAC ID: 5092057042 Enrollment ID: I20190424000129 |
| Provider Name | Diana K Ramone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649406075 PECOS PAC ID: 9830431774 Enrollment ID: I20190425001184 |
| Provider Name | Kathryn E Vele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669874590 PECOS PAC ID: 9638494768 Enrollment ID: I20190507001508 |
| Provider Name | Patrick T Schoenecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689132185 PECOS PAC ID: 9335482439 Enrollment ID: I20190513000887 |
| Provider Name | Clarence L Bonander |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881149433 PECOS PAC ID: 2264765262 Enrollment ID: I20190606000682 |
| Provider Name | Jennifer L Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124684600 PECOS PAC ID: 5092048025 Enrollment ID: I20190606001956 |
| Provider Name | Kelly Gunderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821654393 PECOS PAC ID: 5890028468 Enrollment ID: I20190613001449 |
| Provider Name | Princess K Gehyigon-wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275190027 PECOS PAC ID: 4284968991 Enrollment ID: I20190701001256 |
| Provider Name | Brianna Lee Pankratz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023661428 PECOS PAC ID: 9133457666 Enrollment ID: I20190822000437 |
| Provider Name | Nyamudou F Hamza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942766019 PECOS PAC ID: 0749519304 Enrollment ID: I20190906000885 |
| Provider Name | Paula K Lockhart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801928213 PECOS PAC ID: 2365508322 Enrollment ID: I20190926000029 |
| Provider Name | Elizabeth Winkler-rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083171920 PECOS PAC ID: 6901148212 Enrollment ID: I20191002000010 |
| Provider Name | Steven T Maurer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215581053 PECOS PAC ID: 9234460189 Enrollment ID: I20191008002366 |
| Provider Name | Will Gold |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891122990 PECOS PAC ID: 1951633007 Enrollment ID: I20191023000933 |
| Provider Name | Marquitta C Trimnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376190793 PECOS PAC ID: 8729310636 Enrollment ID: I20191025002028 |
| Provider Name | James Osei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952958027 PECOS PAC ID: 4385076454 Enrollment ID: I20191111001383 |
| Provider Name | Angela M Nemeth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700360641 PECOS PAC ID: 8527490408 Enrollment ID: I20191114001125 |
| Provider Name | Marei A Benton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518518877 PECOS PAC ID: 1355773193 Enrollment ID: I20191115000566 |
| Provider Name | Zachary C Shivers |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326682451 PECOS PAC ID: 0648602243 Enrollment ID: I20191120002141 |
| Provider Name | Kayla E Nowak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891336640 PECOS PAC ID: 3072946474 Enrollment ID: I20191125001645 |
| Provider Name | Patrick A Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407332836 PECOS PAC ID: 9032542550 Enrollment ID: I20191227001929 |
| Provider Name | Abel Bwianchinga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043853336 PECOS PAC ID: 2365877040 Enrollment ID: I20200128000606 |
| Provider Name | Olufemi M Adetunji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902440944 PECOS PAC ID: 5799111985 Enrollment ID: I20200206002172 |
| Provider Name | Jacqueline Grinnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861045262 PECOS PAC ID: 2365878303 Enrollment ID: I20200211000281 |
| Provider Name | Chinedu Odurukwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619512621 PECOS PAC ID: 0345676375 Enrollment ID: I20200211001166 |
| Provider Name | Alissa Sladek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184077281 PECOS PAC ID: 5597193227 Enrollment ID: I20200311002822 |
| Provider Name | Linda Dene Rounsville |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609369768 PECOS PAC ID: 6406284553 Enrollment ID: I20200324000808 |
| Provider Name | Kimberly M Sommers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396379749 PECOS PAC ID: 3375971377 Enrollment ID: I20200324003533 |
| Provider Name | Stephanie Ruth Warwas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972015899 PECOS PAC ID: 6406284421 Enrollment ID: I20200325000482 |
| Provider Name | Kevin L Petersen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578759270 PECOS PAC ID: 1951635788 Enrollment ID: I20200416000500 |
| Provider Name | Sarah R Haag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073143624 PECOS PAC ID: 4880024462 Enrollment ID: I20200422002041 |
| Provider Name | Samantha L Klockow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457860884 PECOS PAC ID: 0042640641 Enrollment ID: I20200422002676 |
| Provider Name | Elizabeth M Storm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205466463 PECOS PAC ID: 6305276874 Enrollment ID: I20200423003110 |
| Provider Name | Macey L Christian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407368327 PECOS PAC ID: 6204267347 Enrollment ID: I20200505003098 |
| Provider Name | Jarryd D. Lunger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407260565 PECOS PAC ID: 3476771627 Enrollment ID: I20200527000451 |
| Provider Name | Emily Kathryn Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457851271 PECOS PAC ID: 4284996612 Enrollment ID: I20200529000310 |
| Provider Name | Nakisa A Khoshnevis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073067609 PECOS PAC ID: 9537580493 Enrollment ID: I20200601001177 |
| Provider Name | Stacie L Darke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952551731 PECOS PAC ID: 8921429887 Enrollment ID: I20200601001531 |
| Provider Name | Kimberly A Willis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629581251 PECOS PAC ID: 7416370069 Enrollment ID: I20200715000465 |
| Provider Name | Tiffany Lori Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679094429 PECOS PAC ID: 6800215757 Enrollment ID: I20200928001019 |
| Provider Name | Tenzin Dolsel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083909105 PECOS PAC ID: 2860812708 Enrollment ID: I20201015000920 |
| Provider Name | Mallory K Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578183604 PECOS PAC ID: 9931510997 Enrollment ID: I20201123001930 |
| Provider Name | Venus L Burney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942649173 PECOS PAC ID: 1254743651 Enrollment ID: I20201208002897 |
| Provider Name | Tiffany M Foley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669908638 PECOS PAC ID: 4981016540 Enrollment ID: I20201224000135 |
| Provider Name | Natasha L Isaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720608110 PECOS PAC ID: 6608295167 Enrollment ID: I20210107001521 |
| Provider Name | Hailie L Kallembach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447871553 PECOS PAC ID: 4486067113 Enrollment ID: I20210119001643 |
| Provider Name | Jeanette Foizie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366041378 PECOS PAC ID: 6305250788 Enrollment ID: I20210126001704 |
| Provider Name | Kurt D Holm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396158358 PECOS PAC ID: 2365856630 Enrollment ID: I20210127002205 |
| Provider Name | Jessica N Corpe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396334587 PECOS PAC ID: 9032523907 Enrollment ID: I20210204001435 |
| Provider Name | Irene M Ottoson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619568912 PECOS PAC ID: 0749694529 Enrollment ID: I20210208001110 |
| Provider Name | Kristen Jean Lane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497208706 PECOS PAC ID: 0749695419 Enrollment ID: I20210211001169 |
| Provider Name | Sarah E Haberman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205427010 PECOS PAC ID: 2264849447 Enrollment ID: I20210406001662 |
| Provider Name | Pamela A Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700330503 PECOS PAC ID: 7416364500 Enrollment ID: I20210408001112 |
| 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 | Guy Onuoha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760063846 PECOS PAC ID: 5991104929 Enrollment ID: I20210525001667 |
| Provider Name | Christa A Damrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578143301 PECOS PAC ID: 5092114579 Enrollment ID: I20210603001934 |
| Provider Name | Nicole Y Anderson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1902489339 PECOS PAC ID: 1456751866 Enrollment ID: I20210607001014 |
| Provider Name | Evan Stanforth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245716703 PECOS PAC ID: 4789084120 Enrollment ID: I20210607002514 |
| Provider Name | Alexa R Just |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114512548 PECOS PAC ID: 2567863475 Enrollment ID: I20210630000312 |
| Provider Name | Shelby Marie Helget |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720659162 PECOS PAC ID: 8123421807 Enrollment ID: I20210720000802 |
| Provider Name | Mary A Fiebiger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386791358 PECOS PAC ID: 4486057254 Enrollment ID: I20210730002558 |
| Provider Name | Christine Michelle Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265042923 PECOS PAC ID: 0244659530 Enrollment ID: I20210809002417 |
| Provider Name | Courtney Kay Sedgwick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255647954 PECOS PAC ID: 3375777469 Enrollment ID: I20210811002426 |
| Provider Name | Yashmin P Nagujja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972173961 PECOS PAC ID: 7214332444 Enrollment ID: I20210825003008 |
| Provider Name | Jayla A Olson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366895161 PECOS PAC ID: 9436554698 Enrollment ID: I20210826000068 |
| Provider Name | Christina L Newell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972175487 PECOS PAC ID: 8123424215 Enrollment ID: I20210915002653 |
| Provider Name | Brian L Straub |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235282427 PECOS PAC ID: 0749687812 Enrollment ID: I20210916002670 |
| Provider Name | Nicole L Cagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164968376 PECOS PAC ID: 1759788532 Enrollment ID: I20210921002448 |
| Provider Name | Melissa M Fairchild |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679140750 PECOS PAC ID: 2062819766 Enrollment ID: I20210923000067 |
| Provider Name | Kimberly A Wick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760157366 PECOS PAC ID: 0244637601 Enrollment ID: I20210928000852 |
| Provider Name | Esther M Vogelzang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710559703 PECOS PAC ID: 9931507167 Enrollment ID: I20211001001542 |
| Provider Name | Daniel S Mccoy |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1538756101 PECOS PAC ID: 8820404833 Enrollment ID: I20211012002799 |
| Provider Name | Azie J Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265012629 PECOS PAC ID: 1557769858 Enrollment ID: I20211015002568 |
| Provider Name | Emily J Gohman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558037093 PECOS PAC ID: 6406244722 Enrollment ID: I20211019001809 |
| Provider Name | William H Menton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568959831 PECOS PAC ID: 7810386109 Enrollment ID: I20211108000122 |
| Provider Name | Cassondra J Otten |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386158574 PECOS PAC ID: 0042609372 Enrollment ID: I20211108002103 |
| Provider Name | Laura J Mortenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255093258 PECOS PAC ID: 9537558879 Enrollment ID: I20211108002406 |
| Provider Name | Kristin A Larson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376061697 PECOS PAC ID: 2860881018 Enrollment ID: I20211110000966 |
| Provider Name | Amy M Wheelecor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164071148 PECOS PAC ID: 9638568447 Enrollment ID: I20211117001669 |
| Provider Name | Ashley L Tuve |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285086835 PECOS PAC ID: 4981093614 Enrollment ID: I20211117002681 |
| Provider Name | Kindra J Lesnau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104581842 PECOS PAC ID: 8325438674 Enrollment ID: I20211201001113 |
| Provider Name | Stephen Byrd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710908330 PECOS PAC ID: 1153502620 Enrollment ID: I20211214002409 |
| Provider Name | Ana D Podratz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972070373 PECOS PAC ID: 0244621977 Enrollment ID: I20220106001530 |
| Provider Name | Rochelle L Niehues |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366969784 PECOS PAC ID: 7113318890 Enrollment ID: I20220107000656 |
| Provider Name | Deborah R Malchow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013674167 PECOS PAC ID: 9133511181 Enrollment ID: I20220125000436 |
| Provider Name | Sara Ann Vipond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417616764 PECOS PAC ID: 5597158329 Enrollment ID: I20220131001418 |
| Provider Name | Jamie K Conrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750958674 PECOS PAC ID: 5193118636 Enrollment ID: I20220207000596 |
| Provider Name | Emily M Valentine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306598214 PECOS PAC ID: 7517351471 Enrollment ID: I20220218002257 |
| Provider Name | Marcy E Tatro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356094759 PECOS PAC ID: 2163817941 Enrollment ID: I20220314000642 |
| Provider Name | Samuel L Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013434299 PECOS PAC ID: 2769877562 Enrollment ID: I20220314001676 |
| Provider Name | Sarah J Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598417610 PECOS PAC ID: 2769877570 Enrollment ID: I20220314002128 |
| Provider Name | Darcy L Stivland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700342029 PECOS PAC ID: 5395130959 Enrollment ID: I20220317000227 |
| Provider Name | Ogechukwu Ugwu |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1023777570 PECOS PAC ID: 7911392345 Enrollment ID: I20220321002148 |
| Provider Name | Annelise I Strommen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992054472 PECOS PAC ID: 1759776859 Enrollment ID: I20220325002047 |
| Provider Name | Evonne V Sirois |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114404274 PECOS PAC ID: 1052707056 Enrollment ID: I20220330002551 |
| Provider Name | Matthew Gryniewski-peirson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487902482 PECOS PAC ID: 9931596780 Enrollment ID: I20220425002049 |
| Provider Name | Martha M Holmquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295793297 PECOS PAC ID: 8426445727 Enrollment ID: I20220504001791 |
| Provider Name | Pamera Kezy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790431195 PECOS PAC ID: 4183011489 Enrollment ID: I20220504002122 |
| Provider Name | Thelma M Browne-kaine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700174596 PECOS PAC ID: 7214314574 Enrollment ID: I20220506002233 |
| Provider Name | Heather J Mask |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942372859 PECOS PAC ID: 1658758883 Enrollment ID: I20220510000173 |
| Provider Name | Kaitlin E Foss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548786486 PECOS PAC ID: 3971981994 Enrollment ID: I20220603001303 |
| Provider Name | Donara K Rudman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730825969 PECOS PAC ID: 6305224098 Enrollment ID: I20220608002871 |
| Provider Name | Erin Elise Krause |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588306732 PECOS PAC ID: 9133508658 Enrollment ID: I20220614000429 |
| Provider Name | Corrine P Pruitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861136103 PECOS PAC ID: 6901285329 Enrollment ID: I20220615001295 |
| Provider Name | Ashley A Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831832021 PECOS PAC ID: 3375922305 Enrollment ID: I20220622002877 |
| Provider Name | Emily Charissa Zavala |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194471458 PECOS PAC ID: 7012396690 Enrollment ID: I20220628002823 |
| Provider Name | Heather L Lucas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861891293 PECOS PAC ID: 1153702287 Enrollment ID: I20220720001035 |
| Provider Name | Matthew J Holkup |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417232505 PECOS PAC ID: 8921489790 Enrollment ID: I20220726000646 |
| Provider Name | Robert B Stein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760148910 PECOS PAC ID: 9739560509 Enrollment ID: I20220726000687 |
| Provider Name | Emily L Huus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699345454 PECOS PAC ID: 9931580719 Enrollment ID: I20220726001009 |
| Provider Name | Madison L Mixdorf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861045965 PECOS PAC ID: 7012399603 Enrollment ID: I20220728002760 |
| Provider Name | Meg C Justison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831825108 PECOS PAC ID: 0143603795 Enrollment ID: I20220816000343 |
| Provider Name | Rebecca Jane Rancour |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386370401 PECOS PAC ID: 9234513615 Enrollment ID: I20220902001576 |
| Provider Name | Brielle J Stoyke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811988967 PECOS PAC ID: 5597753293 Enrollment ID: I20220914001156 |
| Provider Name | Nicole A Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265171961 PECOS PAC ID: 0244616274 Enrollment ID: I20220928003577 |
| Provider Name | Darcy R Cowing-frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518685072 PECOS PAC ID: 3476939950 Enrollment ID: I20221006002092 |
| Provider Name | Cynthia Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184974222 PECOS PAC ID: 6002283249 Enrollment ID: I20221101002361 |
| Provider Name | Laura Welp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114468246 PECOS PAC ID: 6305213562 Enrollment ID: I20221101003126 |
| Provider Name | Steven Robert Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275298531 PECOS PAC ID: 2365811965 Enrollment ID: I20221202001340 |
| Provider Name | Kenzie N Janson-wolle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265824296 PECOS PAC ID: 9335518976 Enrollment ID: I20221203000450 |
| Provider Name | Emily M Tonn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487382875 PECOS PAC ID: 5092185637 Enrollment ID: I20221223000503 |
| Provider Name | Maita S Yang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881302172 PECOS PAC ID: 3375913445 Enrollment ID: I20230105002729 |
| Provider Name | Megan A Jansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477021343 PECOS PAC ID: 7416328182 Enrollment ID: I20230118000284 |
| Provider Name | Andrew C Potts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942725593 PECOS PAC ID: 9537434626 Enrollment ID: I20230203000315 |
| Provider Name | Allett K Lykins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336867290 PECOS PAC ID: 8820460629 Enrollment ID: I20230203001009 |
| Provider Name | Tyrolt Ngole |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1952019374 PECOS PAC ID: 0941672711 Enrollment ID: I20230206000900 |
| Provider Name | Renee Lj Kotlarz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205166535 PECOS PAC ID: 9638541188 Enrollment ID: I20230209000156 |
| Provider Name | Victoria R Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578272274 PECOS PAC ID: 2961874219 Enrollment ID: I20230214002060 |
| Provider Name | Jennifer L Mueller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629011697 PECOS PAC ID: 0446337422 Enrollment ID: I20230216000766 |
| Provider Name | Emily M Johanneck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477269835 PECOS PAC ID: 9234503186 Enrollment ID: I20230316001507 |
| Provider Name | Michael D Broadwell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053645119 PECOS PAC ID: 5395081269 Enrollment ID: I20230324002541 |
| Provider Name | Chrisanna E Kendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891406476 PECOS PAC ID: 0547634990 Enrollment ID: I20230326000076 |
| Provider Name | Mary S Vorpahl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326748757 PECOS PAC ID: 5092180901 Enrollment ID: I20230406001796 |
| Provider Name | Nathaniel David Kostick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689227886 PECOS PAC ID: 1254706534 Enrollment ID: I20230419001938 |
| Provider Name | Sarah M Conway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275237364 PECOS PAC ID: 7214392406 Enrollment ID: I20230421001423 |
| Provider Name | Jenifer Ann Grissom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275818692 PECOS PAC ID: 5496915092 Enrollment ID: I20230424002266 |
| Provider Name | Esther Aba Amokuma Yankey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053019836 PECOS PAC ID: 3870958606 Enrollment ID: I20230501002883 |
| Provider Name | Brooke Kathleen Benson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407385008 PECOS PAC ID: 7517323355 Enrollment ID: I20230519001891 |
| Provider Name | Susan K Latcham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437306818 PECOS PAC ID: 8921017518 Enrollment ID: I20230525000159 |
| Provider Name | Blandine S Sama |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1891493417 PECOS PAC ID: 9234596792 Enrollment ID: I20230530000192 |
| Provider Name | Colleen Starkey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265105027 PECOS PAC ID: 9638536972 Enrollment ID: I20230601001609 |
| Provider Name | Edward Alan Yurick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003433921 PECOS PAC ID: 3678930864 Enrollment ID: I20230602001099 |
| Provider Name | Sheila Rae Sutherland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912626532 PECOS PAC ID: 6608233572 Enrollment ID: I20230608000207 |
| Provider Name | Katelyn Weber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669050746 PECOS PAC ID: 6709243306 Enrollment ID: I20230612003188 |
| Provider Name | Laurie Endris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447923990 PECOS PAC ID: 3173981735 Enrollment ID: I20230614002654 |
| Provider Name | Stephanie Leigh Kolhei |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316416316 PECOS PAC ID: 3971962697 Enrollment ID: I20230628003824 |
| Provider Name | Maureen Elizabeth Murray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063119188 PECOS PAC ID: 6800256504 Enrollment ID: I20230712004728 |
| Provider Name | Keith J Erickson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619931185 PECOS PAC ID: 6103728035 Enrollment ID: I20230725003131 |
| Provider Name | Oby Theresa Okoye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801594734 PECOS PAC ID: 7810358140 Enrollment ID: I20230802001785 |
| Provider Name | Catherine Sue Jurgens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992497614 PECOS PAC ID: 1153782404 Enrollment ID: I20230802002529 |
| Provider Name | Michael John Richter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124677505 PECOS PAC ID: 9537520655 Enrollment ID: I20230804001008 |
| Provider Name | Derek Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619668373 PECOS PAC ID: 5698137537 Enrollment ID: I20230809003650 |
| Provider Name | Angela Lynn Bevans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457022725 PECOS PAC ID: 8729486345 Enrollment ID: I20230811001794 |
| Provider Name | Miranda K Lutterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083391700 PECOS PAC ID: 4688036114 Enrollment ID: I20230816001328 |
| Provider Name | Terra Nicole Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669158564 PECOS PAC ID: 3274995584 Enrollment ID: I20230818001363 |
| Provider Name | Olivia Ann Pralle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558050153 PECOS PAC ID: 1658734710 Enrollment ID: I20230823001360 |
| Provider Name | Jennifer Ann Drumm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205517547 PECOS PAC ID: 7810350329 Enrollment ID: I20230831001857 |
| Provider Name | Nicole C Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689943250 PECOS PAC ID: 1052694288 Enrollment ID: I20230901000586 |
| Provider Name | Kalene N Ruemler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295345437 PECOS PAC ID: 0941664882 Enrollment ID: I20230912001267 |
| Provider Name | Geoffrey K Malone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699293563 PECOS PAC ID: 5799193264 Enrollment ID: I20230913000580 |
| Provider Name | Erin Jeanette Tweed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609551696 PECOS PAC ID: 1355705047 Enrollment ID: I20230913003977 |
| Provider Name | Erica L Micele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841961570 PECOS PAC ID: 3476907304 Enrollment ID: I20230927000759 |
| Provider Name | Rose Marie Ritter Reinert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336653260 PECOS PAC ID: 4284088022 Enrollment ID: I20230927001517 |
| Provider Name | Patricia Jane Hunter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043445570 PECOS PAC ID: 2961856372 Enrollment ID: I20231003002340 |
| Provider Name | Ashley Gerdes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396521878 PECOS PAC ID: 5597110403 Enrollment ID: I20231012003067 |
| Provider Name | Kristin Renee Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548619521 PECOS PAC ID: 8426315359 Enrollment ID: I20231013003249 |
| Provider Name | Mary Q Stample |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750096145 PECOS PAC ID: 3274907613 Enrollment ID: I20231020001922 |
| Provider Name | Eli Sedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912566530 PECOS PAC ID: 2567818560 Enrollment ID: I20231027000513 |
| Provider Name | Sarah Jean Motacek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184089864 PECOS PAC ID: 5092198135 Enrollment ID: I20231101000509 |
| Provider Name | Heather A Speer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689182669 PECOS PAC ID: 1658727284 Enrollment ID: I20231102000152 |
| Provider Name | Jamie J Boe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679875991 PECOS PAC ID: 7113178468 Enrollment ID: I20231107000515 |
| Provider Name | Adam Charles Corcoran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225597412 PECOS PAC ID: 5092163915 Enrollment ID: I20231201002309 |
| Provider Name | Delphine N Munya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588438535 PECOS PAC ID: 6507215258 Enrollment ID: I20231207000584 |
| Provider Name | Amber Noelle Libby |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902157258 PECOS PAC ID: 9739539560 Enrollment ID: I20231220001147 |
| Provider Name | Rebecca E Pihl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407343130 PECOS PAC ID: 4284084013 Enrollment ID: I20231220001189 |
| Provider Name | Sandra Elizabeth Walsh |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578697355 PECOS PAC ID: 3779933502 Enrollment ID: I20231220001436 |
| Provider Name | Tyler Trettel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336552694 PECOS PAC ID: 7012367865 Enrollment ID: I20231220002004 |
| Provider Name | Eva Marie Albrecht-feld |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447848759 PECOS PAC ID: 2466802210 Enrollment ID: I20231220002086 |
| Provider Name | Paige Welle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376934547 PECOS PAC ID: 6608226469 Enrollment ID: I20231220002273 |
| Provider Name | Lisa Michelle Thistle |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255463188 PECOS PAC ID: 7416307277 Enrollment ID: I20231220002275 |
| Provider Name | Seraphine Zoe Esta Violet Aker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356794465 PECOS PAC ID: 2769832526 Enrollment ID: I20231220002343 |
| Provider Name | Kelly Walters |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336616226 PECOS PAC ID: 0042556276 Enrollment ID: I20231220002684 |
| Provider Name | Tyler Zillmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710330691 PECOS PAC ID: 6406206176 Enrollment ID: I20231220003216 |
| Provider Name | Brianne Wolters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639831837 PECOS PAC ID: 2466791504 Enrollment ID: I20231220003314 |
| Provider Name | Kelsey Dillon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295184083 PECOS PAC ID: 2163872862 Enrollment ID: I20231221000112 |
| Provider Name | Jacelyn Kay Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437749546 PECOS PAC ID: 7315397049 Enrollment ID: I20231221001074 |
| Provider Name | Anne M Crispo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285304360 PECOS PAC ID: 6204286933 Enrollment ID: I20231221001172 |
| Provider Name | Lijuan Xie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801469663 PECOS PAC ID: 0840640587 Enrollment ID: I20231221001564 |
| Provider Name | Jane Pollock Johnson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093854945 PECOS PAC ID: 6002266681 Enrollment ID: I20231221003567 |
| Provider Name | Jennifer Perri |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013275650 PECOS PAC ID: 1759731375 Enrollment ID: I20231222001084 |
| Provider Name | Jack Leslie Hinrichs |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1023035599 PECOS PAC ID: 1355791989 Enrollment ID: I20231222001700 |
| Provider Name | Valissa Milanovich |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215319504 PECOS PAC ID: 1456701002 Enrollment ID: I20231222002521 |
| Provider Name | Ashley D Johnson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932469111 PECOS PAC ID: 8426408907 Enrollment ID: I20231226000030 |
| Provider Name | Jennifer Brianne Toth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083985584 PECOS PAC ID: 8224488705 Enrollment ID: I20231226000109 |
| Provider Name | Wei Zhou |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619667508 PECOS PAC ID: 7113377607 Enrollment ID: I20231226000334 |
| Provider Name | Vonna P Wala |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760631071 PECOS PAC ID: 1456701945 Enrollment ID: I20231226000418 |
| Provider Name | Tammy Marie Peterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174272553 PECOS PAC ID: 8527418011 Enrollment ID: I20231226000491 |
| Provider Name | Randi Joy Butwin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740864503 PECOS PAC ID: 4789034273 Enrollment ID: I20231226000555 |
| Provider Name | Arundathi Raghavendra Rao |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659856821 PECOS PAC ID: 7214387711 Enrollment ID: I20231226000636 |
| Provider Name | Adam Retterath |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780359869 PECOS PAC ID: 7012367519 Enrollment ID: I20231226000694 |
| Provider Name | Peter William Werner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225424864 PECOS PAC ID: 8921458423 Enrollment ID: I20231226000696 |
| Provider Name | Amy L Gerlach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235507666 PECOS PAC ID: 4284084781 Enrollment ID: I20231226000734 |
| Provider Name | Kristin J Hoppe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114463973 PECOS PAC ID: 1355791856 Enrollment ID: I20231226000797 |
| Provider Name | Elizabeth A Douglas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336439306 PECOS PAC ID: 2668822172 Enrollment ID: I20231226001088 |
| Provider Name | Jessica Ruth Klasen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932565603 PECOS PAC ID: 6800246315 Enrollment ID: I20231226001225 |
| Provider Name | Lukas Eisen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326697947 PECOS PAC ID: 1153771662 Enrollment ID: I20231226001275 |
| Provider Name | Paige Marie Groebner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376062869 PECOS PAC ID: 3779933296 Enrollment ID: I20231226001377 |
| Provider Name | Hannah Erica Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215678347 PECOS PAC ID: 0446600969 Enrollment ID: I20231226001614 |
| Provider Name | Erica Lynn Petry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336519255 PECOS PAC ID: 8224488754 Enrollment ID: I20231227000061 |
| Provider Name | Matthew James Rask |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740862036 PECOS PAC ID: 2860842390 Enrollment ID: I20231227000078 |
| Provider Name | Jennifer C Fritz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932448875 PECOS PAC ID: 0941650477 Enrollment ID: I20231227000098 |
| Provider Name | Michelle L Gress |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750989174 PECOS PAC ID: 0840640371 Enrollment ID: I20231227000120 |
| Provider Name | Valerie Sayre |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1679879886 PECOS PAC ID: 5799135232 Enrollment ID: I20231227000327 |
| Provider Name | Victoria Lynn Reeck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275001372 PECOS PAC ID: 3476903915 Enrollment ID: I20231227000495 |
| Provider Name | Christopher Andre Brendemuhl |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952890469 PECOS PAC ID: 3375993710 Enrollment ID: I20231227000931 |
| Provider Name | Debra Louise Schull |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285169458 PECOS PAC ID: 3375993736 Enrollment ID: I20231227001316 |
| Provider Name | Caitlin Smock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265944359 PECOS PAC ID: 0840640215 Enrollment ID: I20231227001976 |
| Provider Name | Kimberly Jean Schloesser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093288342 PECOS PAC ID: 1456701838 Enrollment ID: I20231227002123 |
| Provider Name | Heidi Marie Skattebo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467021139 PECOS PAC ID: 0143670521 Enrollment ID: I20231227002285 |
| Provider Name | Richard Arthur Rittmaster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023385234 PECOS PAC ID: 1850741240 Enrollment ID: I20231227002428 |
| Provider Name | Andrea Workman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144869801 PECOS PAC ID: 0648620039 Enrollment ID: I20231227002557 |
| Provider Name | Brandon Jacob Rehnelt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346882164 PECOS PAC ID: 1456701846 Enrollment ID: I20231227002585 |
| Provider Name | Sophia Whims |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710565247 PECOS PAC ID: 4880044270 Enrollment ID: I20231227002693 |
| Provider Name | David Alois Praska |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1053839928 PECOS PAC ID: 0749630143 Enrollment ID: I20231227002899 |
| Provider Name | Jessica Victoria Lynch |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124356787 PECOS PAC ID: 7719337112 Enrollment ID: I20231227002978 |
| Provider Name | Lisa A Eskola |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104842459 PECOS PAC ID: 9234589631 Enrollment ID: I20231227003102 |
| Provider Name | Jacinta Rae Putnam |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033419163 PECOS PAC ID: 8426408857 Enrollment ID: I20231228000500 |
| Provider Name | Mikki K Mason |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003578758 PECOS PAC ID: 8820448152 Enrollment ID: I20231228001076 |
| Provider Name | Violet Marie Scheibel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396319679 PECOS PAC ID: 8729438064 Enrollment ID: I20231228001147 |
| Provider Name | Jade Richter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356826242 PECOS PAC ID: 9436509700 Enrollment ID: I20231228002368 |
| Provider Name | Carrie Lois Main |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366051344 PECOS PAC ID: 9931559218 Enrollment ID: I20231228002606 |
| Provider Name | Katie L Hermerding |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760935282 PECOS PAC ID: 0648620948 Enrollment ID: I20231228003572 |
| Provider Name | Trevor Allen Schabert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003586371 PECOS PAC ID: 0648620963 Enrollment ID: I20231229000275 |
| Provider Name | Stephanie Rafn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386998904 PECOS PAC ID: 5496105611 Enrollment ID: I20231229000531 |
| Provider Name | Jonathan Kirby |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1205235868 PECOS PAC ID: 4385094507 Enrollment ID: I20231229000610 |
| Provider Name | Shanna L Garcia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144729930 PECOS PAC ID: 8921458159 Enrollment ID: I20231229000990 |
| Provider Name | Victoria Rae Burgi Mueller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801286570 PECOS PAC ID: 9638529878 Enrollment ID: I20231229001122 |
| Provider Name | Kyle Erich Dufek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932717022 PECOS PAC ID: 9032569272 Enrollment ID: I20231229001308 |
| Provider Name | Ana A Morse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124574199 PECOS PAC ID: 0840640090 Enrollment ID: I20231229001721 |
| Provider Name | Bridgette Marie Eastman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154898351 PECOS PAC ID: 5193175354 Enrollment ID: I20231229001818 |
| Provider Name | Deanna Ruth Murphy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700220225 PECOS PAC ID: 6507216769 Enrollment ID: I20231229002061 |
| Provider Name | Dana Lynn Nagel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508015363 PECOS PAC ID: 7315397585 Enrollment ID: I20231229002438 |
| Provider Name | Amber Rose Sellin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043799562 PECOS PAC ID: 6204286487 Enrollment ID: I20231229002581 |
| Provider Name | Kelly Jo Mcmartin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700319977 PECOS PAC ID: 5294185484 Enrollment ID: I20240101000000 |
| Provider Name | Alyson Mae Flemming Mellendorf |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184028151 PECOS PAC ID: 9739539925 Enrollment ID: I20240101000007 |
| Provider Name | Erin Saladin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407271638 PECOS PAC ID: 9335599539 Enrollment ID: I20240101000132 |
| Provider Name | Wendy Joan Baker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770923617 PECOS PAC ID: 0244680445 Enrollment ID: I20240101000136 |
| Provider Name | Darren A Lane |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346685161 PECOS PAC ID: 0143670349 Enrollment ID: I20240101000163 |
| Provider Name | Jamie Houk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558946574 PECOS PAC ID: 7113377318 Enrollment ID: I20240101000276 |
| Provider Name | Michelle Erin Lamusga |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710265376 PECOS PAC ID: 9931559135 Enrollment ID: I20240101000285 |
| Provider Name | Beth Bordenave |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417215260 PECOS PAC ID: 7911357900 Enrollment ID: I20240103003159 |
| Provider Name | Diane Jean Branson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336782408 PECOS PAC ID: 9537510524 Enrollment ID: I20240103003300 |
| Provider Name | Meghan Osterbauer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982257333 PECOS PAC ID: 4789035619 Enrollment ID: I20240104003921 |
| Provider Name | Sarah Marie Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083287353 PECOS PAC ID: 6608227541 Enrollment ID: I20240104004325 |
| Provider Name | Daniel S. Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326059197 PECOS PAC ID: 0042234460 Enrollment ID: I20240104004620 |
| Provider Name | Jessica Nash |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538651294 PECOS PAC ID: 6709237670 Enrollment ID: I20240105000187 |
| Provider Name | Andrea T Hansen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326637349 PECOS PAC ID: 6800247677 Enrollment ID: I20240105000482 |
| Provider Name | Holly J Oachs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780281295 PECOS PAC ID: 6305297185 Enrollment ID: I20240105001071 |
| Provider Name | Catherine Ann Jaksha |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235736786 PECOS PAC ID: 7618328428 Enrollment ID: I20240105002127 |
| Provider Name | Melanie R Carlson-kappes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043802432 PECOS PAC ID: 0446601108 Enrollment ID: I20240105003949 |
| Provider Name | Gail Marie Onderak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598470882 PECOS PAC ID: 5890146518 Enrollment ID: I20240108000767 |
| Provider Name | Jennica Wanha |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1962066589 PECOS PAC ID: 2961853692 Enrollment ID: I20240108000858 |
| Provider Name | Melissa Norland-shepard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710590914 PECOS PAC ID: 2365893005 Enrollment ID: I20240108003521 |
| Provider Name | Jessica K Girard |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558713032 PECOS PAC ID: 6507217254 Enrollment ID: I20240108003683 |
| Provider Name | Karie Petersen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871909978 PECOS PAC ID: 2163873720 Enrollment ID: I20240108004376 |
| Provider Name | Julie Kay Yaekel-black Elk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487785069 PECOS PAC ID: 8921459587 Enrollment ID: I20240108004560 |
| Provider Name | Ellen Demars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962074328 PECOS PAC ID: 0648668061 Enrollment ID: I20240108005248 |
| Provider Name | Leslie Ann Groome |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891175824 PECOS PAC ID: 8921459546 Enrollment ID: I20240109000382 |
| Provider Name | Bradley Mike Dreis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619278520 PECOS PAC ID: 3274984711 Enrollment ID: I20240109001591 |
| Provider Name | Kathryn A Eberley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346888609 PECOS PAC ID: 6800247396 Enrollment ID: I20240109003196 |
| Provider Name | Brian Patrick Mccullough |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417244716 PECOS PAC ID: 6103277629 Enrollment ID: I20240109004438 |
| Provider Name | Heidi Mcelroy |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932566932 PECOS PAC ID: 5597116939 Enrollment ID: I20240110000630 |
| Provider Name | Megan Peterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982390373 PECOS PAC ID: 9739530171 Enrollment ID: I20240110000752 |
| Provider Name | Laura Novitsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053650978 PECOS PAC ID: 1456506310 Enrollment ID: I20240110000807 |
| Provider Name | Richard M Mielke |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891948725 PECOS PAC ID: 2961853320 Enrollment ID: I20240110001443 |
| Provider Name | Taylor E Fellbaum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649811670 PECOS PAC ID: 7719338185 Enrollment ID: I20240110001694 |
| Provider Name | Karen M Edquist |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225624166 PECOS PAC ID: 8921459306 Enrollment ID: I20240110002003 |
| Provider Name | Michael Ryan Nachreiner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750985248 PECOS PAC ID: 7517318918 Enrollment ID: I20240110002899 |
| Provider Name | Christa Overson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1881071074 PECOS PAC ID: 5698126985 Enrollment ID: I20240111001008 |
| Provider Name | Linda Gail Olson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235682683 PECOS PAC ID: 0547611840 Enrollment ID: I20240111001607 |
| Provider Name | Kayla Marie Reyle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366123077 PECOS PAC ID: 3072964287 Enrollment ID: I20240111002079 |
| Provider Name | Nicholas Pierson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639719354 PECOS PAC ID: 9931550142 Enrollment ID: I20240111002255 |
| Provider Name | Lisa M Dee |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134403587 PECOS PAC ID: 8022469287 Enrollment ID: I20240111004003 |
| Provider Name | Avery Marie Delahanty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164018032 PECOS PAC ID: 7810348927 Enrollment ID: I20240112001022 |
| Provider Name | Erin Elizabeth Peterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467960021 PECOS PAC ID: 4082065123 Enrollment ID: I20240112002132 |
| Provider Name | Andrea K Sloane |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750863106 PECOS PAC ID: 9032561147 Enrollment ID: I20240113000497 |
| Provider Name | Jenna Marie Schmidt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811633456 PECOS PAC ID: 8325490444 Enrollment ID: I20240113000824 |
| Provider Name | Kalene A Haugen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043709421 PECOS PAC ID: 3779935895 Enrollment ID: I20240114000018 |
| Provider Name | Stephanie D Fish |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568818557 PECOS PAC ID: 0648622795 Enrollment ID: I20240115000614 |
| Provider Name | Mara Coyle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770182123 PECOS PAC ID: 3577915529 Enrollment ID: I20240116001863 |
| Provider Name | Mara V Doran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982113700 PECOS PAC ID: 2860844834 Enrollment ID: I20240116002518 |
| Provider Name | Marsha L Dettloff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912433087 PECOS PAC ID: 5991157869 Enrollment ID: I20240116002723 |
| Provider Name | Leslie Erin Burnett |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1538716873 PECOS PAC ID: 3375995244 Enrollment ID: I20240116002959 |
| Provider Name | Ashley Therese Moos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558899732 PECOS PAC ID: 1557713401 Enrollment ID: I20240117000841 |
| Provider Name | Allison Marie Parranto |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457803132 PECOS PAC ID: 2264884113 Enrollment ID: I20240117000905 |
| Provider Name | Jose M Rengifo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366718090 PECOS PAC ID: 8325341118 Enrollment ID: I20240117001199 |
| Provider Name | Danae M Cowell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952861510 PECOS PAC ID: 7416309240 Enrollment ID: I20240117003525 |
| Provider Name | Charell L Dutton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063079762 PECOS PAC ID: 6002268836 Enrollment ID: I20240117003689 |
| Provider Name | Megan Lynn Highet |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1356971253 PECOS PAC ID: 6507218344 Enrollment ID: I20240117003891 |
| Provider Name | Jennifer Marie Metzger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669061230 PECOS PAC ID: 9234581992 Enrollment ID: I20240118000155 |
| Provider Name | Nathaniel John Brutejcek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538882964 PECOS PAC ID: 3476905175 Enrollment ID: I20240118001383 |
| Provider Name | Jill Johnson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043624422 PECOS PAC ID: 7315399029 Enrollment ID: I20240118001653 |
| Provider Name | Brian Thomas Merrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740443514 PECOS PAC ID: 3072965607 Enrollment ID: I20240119001215 |
| Provider Name | Susan Ruth Dietel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992364624 PECOS PAC ID: 9436501970 Enrollment ID: I20240119001899 |
| Provider Name | Mary E Anderson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194013334 PECOS PAC ID: 6103141130 Enrollment ID: I20240119001939 |
| Provider Name | John Webster Ambrose |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881364008 PECOS PAC ID: 7315399854 Enrollment ID: I20240119001992 |
| Provider Name | Madeleine P Coulter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639767692 PECOS PAC ID: 2769834233 Enrollment ID: I20240119003125 |
| Provider Name | Euniah M Onserio |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891483012 PECOS PAC ID: 8224480660 Enrollment ID: I20240122001109 |
| Provider Name | Linda Odriscoll |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902352289 PECOS PAC ID: 7113379561 Enrollment ID: I20240122001580 |
| Provider Name | Lisa Chong Rose |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750748422 PECOS PAC ID: 7113379579 Enrollment ID: I20240122001608 |
| Provider Name | Miranda Dean Boehne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679163935 PECOS PAC ID: 9234581646 Enrollment ID: I20240122003501 |
| Provider Name | Abigail Fletcher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043670581 PECOS PAC ID: 9032561444 Enrollment ID: I20240122003548 |
| Provider Name | Jeff John Stariha |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629621131 PECOS PAC ID: 5698128676 Enrollment ID: I20240125002974 |
| Provider Name | Jillian Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548950447 PECOS PAC ID: 1658724653 Enrollment ID: I20240125003528 |
| Provider Name | Lori Cline |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306360649 PECOS PAC ID: 2961883194 Enrollment ID: I20240125004376 |
| Provider Name | Molly Dudley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457120529 PECOS PAC ID: 3678926623 Enrollment ID: I20240126000592 |
| Provider Name | Sarah Rush |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407151145 PECOS PAC ID: 7719330638 Enrollment ID: I20240126003623 |
| Provider Name | Donald Scott Resemius |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124458039 PECOS PAC ID: 7416300330 Enrollment ID: I20240126003769 |
| Provider Name | Judith Ann Malmskog |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922423714 PECOS PAC ID: 6709239411 Enrollment ID: I20240130001180 |
| Provider Name | Alexandra Mariah Forbes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407322753 PECOS PAC ID: 4183077803 Enrollment ID: I20240130001514 |
| Provider Name | Ross Andrew Hardman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174091524 PECOS PAC ID: 5698128320 Enrollment ID: I20240130001696 |
| Provider Name | Nicole E Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104398577 PECOS PAC ID: 5092168724 Enrollment ID: I20240130001929 |
| Provider Name | Rebecca Sanders |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295188324 PECOS PAC ID: 7810340478 Enrollment ID: I20240130003200 |
| Provider Name | Emily L Mcgonigle |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114296613 PECOS PAC ID: 4688027253 Enrollment ID: I20240131000041 |
| Provider Name | Jennie M Juettner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1962979666 PECOS PAC ID: 4880047406 Enrollment ID: I20240131001299 |
| Provider Name | Conor Mae Lund |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750150009 PECOS PAC ID: 9335592898 Enrollment ID: I20240131003222 |
| Provider Name | Lindsay Michelle Barganz-junker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194093427 PECOS PAC ID: 8123471695 Enrollment ID: I20240131003360 |
| Provider Name | Kristal E Ficzeri |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083108138 PECOS PAC ID: 2264885631 Enrollment ID: I20240201002183 |
| Provider Name | Darcy F Swigart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427649987 PECOS PAC ID: 3779936067 Enrollment ID: I20240202002066 |
| Provider Name | Robert John Bouley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831532159 PECOS PAC ID: 5294178596 Enrollment ID: I20240202002981 |
| Provider Name | Alison Elizabeth Suominen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154803534 PECOS PAC ID: 0840633111 Enrollment ID: I20240205000750 |
| Provider Name | Kevin Mcclure |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1356718134 PECOS PAC ID: 1557704822 Enrollment ID: I20240205000835 |
| Provider Name | Nathaniel Adam Churchill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881137693 PECOS PAC ID: 1850734039 Enrollment ID: I20240205001550 |
| Provider Name | Angelina Pylka |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134700735 PECOS PAC ID: 1850791617 Enrollment ID: I20240206002705 |
| Provider Name | Rachel M Slough-johnson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1801262563 PECOS PAC ID: 6709229651 Enrollment ID: I20240207001979 |
| Provider Name | Christina Marie Holcomb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871892588 PECOS PAC ID: 2860835139 Enrollment ID: I20240208000951 |
| Provider Name | Jan Hafner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851548085 PECOS PAC ID: 6901249754 Enrollment ID: I20240208001167 |
| Provider Name | Kristin M Blegen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184210197 PECOS PAC ID: 8820431679 Enrollment ID: I20240208001477 |
| Provider Name | Sheila Ann Schuster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801491303 PECOS PAC ID: 3375986169 Enrollment ID: I20240208002565 |
| Provider Name | Emily Jo Stoks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437567088 PECOS PAC ID: 0547603334 Enrollment ID: I20240208002588 |
| Provider Name | Coreen Tracee Jander |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184364234 PECOS PAC ID: 2769825314 Enrollment ID: I20240210000067 |
| Provider Name | Amy Jo Horihan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629643226 PECOS PAC ID: 1456794999 Enrollment ID: I20240212002189 |
| Provider Name | Ruth Ellen Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265215966 PECOS PAC ID: 2567805013 Enrollment ID: I20240212002516 |
| Provider Name | Treasure T Takang-enow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336544022 PECOS PAC ID: 7315380748 Enrollment ID: I20240213001249 |
| Provider Name | Alesha Ketter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306290218 PECOS PAC ID: 4486097854 Enrollment ID: I20240213002596 |
| Provider Name | Amanda Lemire |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508350679 PECOS PAC ID: 1759725187 Enrollment ID: I20240214000048 |
| Provider Name | Charles Lochner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073199980 PECOS PAC ID: 4789028119 Enrollment ID: I20240214000231 |
| Provider Name | Lanny Lester Law |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104843622 PECOS PAC ID: 8820432263 Enrollment ID: I20240214000421 |
| Provider Name | Shenna Marie Manteuffel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972992675 PECOS PAC ID: 3274977616 Enrollment ID: I20240214000478 |
| Provider Name | Julie Elizabeth Lindenfelser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487287264 PECOS PAC ID: 9032553490 Enrollment ID: I20240214001031 |
| Provider Name | Rebecca Ann Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679041487 PECOS PAC ID: 6608210067 Enrollment ID: I20240214001342 |
| Provider Name | Jamie Koivisto-goeppinger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871003475 PECOS PAC ID: 8123462504 Enrollment ID: I20240214001768 |
| Provider Name | Koob Phong Lesang |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285370122 PECOS PAC ID: 0547604928 Enrollment ID: I20240214001910 |
| Provider Name | Margaret Mary Lewis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578943080 PECOS PAC ID: 3577907864 Enrollment ID: I20240214002643 |
| Provider Name | Hlee Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558842005 PECOS PAC ID: 9739523069 Enrollment ID: I20240214003894 |
| Provider Name | James Edward Blissenbach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922721422 PECOS PAC ID: 3375987514 Enrollment ID: I20240215003665 |
| Provider Name | Emily C Conery |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124498506 PECOS PAC ID: 9931543196 Enrollment ID: I20240215004312 |
| Provider Name | Kathryn Pribyl |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730775180 PECOS PAC ID: 4981048055 Enrollment ID: I20240216000368 |
| Provider Name | Cynthia Kluver |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841611613 PECOS PAC ID: 8921442062 Enrollment ID: I20240216002964 |
| Provider Name | April Lee Bauer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770739500 PECOS PAC ID: 7618311630 Enrollment ID: I20240219000853 |
| Provider Name | Erika E W Borscheid |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437603131 PECOS PAC ID: 2567806417 Enrollment ID: I20240219002309 |
| Provider Name | Brenda Lea Nikkila |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124579677 PECOS PAC ID: 5395189252 Enrollment ID: I20240219002680 |
| Provider Name | Shu-chun Lee |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972075893 PECOS PAC ID: 2466896022 Enrollment ID: I20240222000947 |
| Provider Name | Catherine Joan Kimrey-reid |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710482310 PECOS PAC ID: 6002250669 Enrollment ID: I20240222000965 |
| Provider Name | Cara Marie Chapdelaine |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1528715513 PECOS PAC ID: 8224472899 Enrollment ID: I20240222001207 |
| Provider Name | Alice I Congdon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396102364 PECOS PAC ID: 8224472758 Enrollment ID: I20240222003705 |
| Provider Name | Katherine J Downing |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285173989 PECOS PAC ID: 2062856537 Enrollment ID: I20240223001011 |
| Provider Name | Ashley C Degenaar |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508418484 PECOS PAC ID: 1254776735 Enrollment ID: I20240224000518 |
| Provider Name | Alissa Hanna Litwiller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659910594 PECOS PAC ID: 7517302094 Enrollment ID: I20240224000533 |
| Provider Name | Wa S Cheng-berg |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013524016 PECOS PAC ID: 2961847231 Enrollment ID: I20240226003416 |
| Provider Name | Barbara Jeanne Brindle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568925295 PECOS PAC ID: 4587009857 Enrollment ID: I20240226003485 |
| Provider Name | Max Richard Stoltenberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184870610 PECOS PAC ID: 7315382504 Enrollment ID: I20240227003970 |
| Provider Name | Rie Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730531237 PECOS PAC ID: 5698110807 Enrollment ID: I20240228000109 |
| Provider Name | Catherine Jean Brightman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891207254 PECOS PAC ID: 9133564347 Enrollment ID: I20240228000121 |
| Provider Name | Kiersten L Burroughs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326526799 PECOS PAC ID: 8022453257 Enrollment ID: I20240228000542 |
| Provider Name | Christina J Fike |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053823955 PECOS PAC ID: 1557706793 Enrollment ID: I20240228000968 |
| Provider Name | Daren Eugene Carlson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1710408398 PECOS PAC ID: 4183069321 Enrollment ID: I20240228001025 |
| Provider Name | Miranda Ann Byram |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407180425 PECOS PAC ID: 7618312851 Enrollment ID: I20240228001059 |
| Provider Name | Jordan Leigh Achartz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083354930 PECOS PAC ID: 6305281551 Enrollment ID: I20240228001277 |
| Provider Name | Jason Andrew Stahl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528655321 PECOS PAC ID: 3577908623 Enrollment ID: I20240228001649 |
| Provider Name | Kurt Sayers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649623083 PECOS PAC ID: 7719322874 Enrollment ID: I20240228001846 |
| Provider Name | Karen Kay Cierzan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285405324 PECOS PAC ID: 1850736927 Enrollment ID: I20240228002439 |
| Provider Name | Matthew Aaron Fanberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447750294 PECOS PAC ID: 1759726821 Enrollment ID: I20240228002480 |
| Provider Name | Tara Joy Dela Rosa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689267700 PECOS PAC ID: 4486099579 Enrollment ID: I20240228002853 |
| Provider Name | Julie Iverson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730562919 PECOS PAC ID: 5294170387 Enrollment ID: I20240228002888 |
| Provider Name | Tyler Marie Powers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669185831 PECOS PAC ID: 8426493529 Enrollment ID: I20240228003454 |
| Provider Name | Scott Carl Burgi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982177333 PECOS PAC ID: 0143665240 Enrollment ID: I20240228003507 |
| Provider Name | Wade Rollin Crandall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649510587 PECOS PAC ID: 7315382413 Enrollment ID: I20240228003536 |
| Provider Name | Katherine Margarita Aleman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366078081 PECOS PAC ID: 4587009691 Enrollment ID: I20240228003638 |
| Provider Name | Scott Steinbarger |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1710394556 PECOS PAC ID: 2264877372 Enrollment ID: I20240228003777 |
| Provider Name | Denise Michele Byhre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821355157 PECOS PAC ID: 4385089408 Enrollment ID: I20240228004094 |
| Provider Name | Allison Ann Patnaude |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730731316 PECOS PAC ID: 8729423850 Enrollment ID: I20240228004473 |
| Provider Name | Devon L Broome |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265189724 PECOS PAC ID: 4981049020 Enrollment ID: I20240228004649 |
| Provider Name | Tanya Marie Svenddal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366994527 PECOS PAC ID: 1254776297 Enrollment ID: I20240229000222 |
| Provider Name | Kayla Jane Schulz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265834931 PECOS PAC ID: 1355786336 Enrollment ID: I20240229001591 |
| Provider Name | Meghan Schweinhagen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679949713 PECOS PAC ID: 8426400953 Enrollment ID: I20240229002151 |
| Provider Name | Robin B Mahan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417181371 PECOS PAC ID: 4688019680 Enrollment ID: I20240229002212 |
| Provider Name | Amber Rose Meagher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730636036 PECOS PAC ID: 3274978283 Enrollment ID: I20240229002797 |
| Provider Name | David Lee Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033364013 PECOS PAC ID: 6507201522 Enrollment ID: I20240229002976 |
| Provider Name | Rebecca L Gardner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124759394 PECOS PAC ID: 6901241835 Enrollment ID: I20240229003999 |
| Provider Name | Laurie Elizabeth Talbot Lorentz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073965331 PECOS PAC ID: 5193160075 Enrollment ID: I20240301000841 |
| Provider Name | Jason T Caspillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780227736 PECOS PAC ID: 0648615484 Enrollment ID: I20240301003295 |
| Provider Name | Megan Patterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558510867 PECOS PAC ID: 7315382199 Enrollment ID: I20240302000553 |
| Provider Name | Brett Sharockman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104414515 PECOS PAC ID: 7315382116 Enrollment ID: I20240304000482 |
| Provider Name | Sarah Jean Blum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902393382 PECOS PAC ID: 4688019490 Enrollment ID: I20240304000853 |
| Provider Name | Jenny Ann Holcomb |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598244154 PECOS PAC ID: 7214373828 Enrollment ID: I20240306000413 |
| Provider Name | Jesse Taylor Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528549284 PECOS PAC ID: 2264878115 Enrollment ID: I20240313003276 |
| Provider Name | Heather Kunkel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1710476536 PECOS PAC ID: 3274979158 Enrollment ID: I20240314000082 |
| Provider Name | Blake Jeffrey Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396393021 PECOS PAC ID: 9537534284 Enrollment ID: I20240314000256 |
| Provider Name | Dana Marie Seelen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205324647 PECOS PAC ID: 1254777089 Enrollment ID: I20240314002246 |
| Provider Name | Samantha Laughery |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083092787 PECOS PAC ID: 1557707338 Enrollment ID: I20240314004280 |
| Provider Name | Burt Jeffery Edwards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265071740 PECOS PAC ID: 4688010481 Enrollment ID: I20240315000565 |
| Provider Name | Holly Laluzerne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699202382 PECOS PAC ID: 4981040607 Enrollment ID: I20240315001618 |
| Provider Name | Joy Hanna Cloutier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124882519 PECOS PAC ID: 0547607244 Enrollment ID: I20240318000528 |
| Provider Name | Steven Daniel Young |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003488008 PECOS PAC ID: 5395182000 Enrollment ID: I20240318001119 |
| Provider Name | Alyssa Jordan Ellegaard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932676400 PECOS PAC ID: 4789021338 Enrollment ID: I20240319002305 |
| Provider Name | Rochelle L Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417382938 PECOS PAC ID: 5092152652 Enrollment ID: I20240319002870 |
| Provider Name | Sandra K Bucher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568883411 PECOS PAC ID: 3678910056 Enrollment ID: I20240320003866 |
| Provider Name | Julia A Fiecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285038299 PECOS PAC ID: 9133444300 Enrollment ID: I20240322001510 |
| Provider Name | Cami J. Hambrock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750054565 PECOS PAC ID: 4082051156 Enrollment ID: I20240325002738 |
| Provider Name | Anna Thelen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528628872 PECOS PAC ID: 2062850761 Enrollment ID: I20240401000923 |
| Provider Name | Francois Vang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396479150 PECOS PAC ID: 5890133466 Enrollment ID: I20240402000156 |
| Provider Name | Jenny Marie Nordell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144692971 PECOS PAC ID: 2668810169 Enrollment ID: I20240403001123 |
| Provider Name | Rachel Nicole Bunnell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912471434 PECOS PAC ID: 8527406024 Enrollment ID: I20240403001280 |
| Provider Name | Ryan Patrick Buchmeier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588326805 PECOS PAC ID: 4385082361 Enrollment ID: I20240410000990 |
| Provider Name | Joan Alexandra Kane-coleman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245753540 PECOS PAC ID: 5496194276 Enrollment ID: I20240412000787 |
| Provider Name | C Brook Chace |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295248706 PECOS PAC ID: 5193164986 Enrollment ID: I20240412001400 |
| Provider Name | Daniel Edward Hendrix |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265957161 PECOS PAC ID: 5193164770 Enrollment ID: I20240416000178 |
| Provider Name | Joshua Thomas Paul |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447638440 PECOS PAC ID: 8628412053 Enrollment ID: I20240416000940 |
| Provider Name | Eileen Marie Peterson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922551597 PECOS PAC ID: 5395184907 Enrollment ID: I20240416001254 |
| Provider Name | Dawn Clark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528730652 PECOS PAC ID: 6305285925 Enrollment ID: I20240416001634 |
| Provider Name | Victoria Lynn Fett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801539713 PECOS PAC ID: 6103265756 Enrollment ID: I20240416003041 |
| Provider Name | Philip Caleb Zastrow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255968111 PECOS PAC ID: 9436598992 Enrollment ID: I20240416003615 |
| Provider Name | Benjamin Bauer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104459312 PECOS PAC ID: 0446699953 Enrollment ID: I20240417001075 |
| Provider Name | Daniel Mrotek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700236809 PECOS PAC ID: 2264830504 Enrollment ID: I20240419000152 |
| Provider Name | Patrick Ellingson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578229191 PECOS PAC ID: 8729427794 Enrollment ID: I20240424000249 |
| Provider Name | Stephanie J Koslowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477296291 PECOS PAC ID: 9436598406 Enrollment ID: I20240424000337 |
| Provider Name | Olena Ruchko |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609115757 PECOS PAC ID: 5294175295 Enrollment ID: I20240424001809 |
| Provider Name | Mckayla Lynn Kent |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376257824 PECOS PAC ID: 4587004155 Enrollment ID: I20240430001044 |
| Provider Name | Tiffany Lynn Madson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831949833 PECOS PAC ID: 6507206646 Enrollment ID: I20240506004312 |
| Provider Name | Kalana L Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851062855 PECOS PAC ID: 0446600761 Enrollment ID: I20240514000165 |
| Provider Name | Heather Jo Voss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033739495 PECOS PAC ID: 4183066285 Enrollment ID: I20240521001899 |
| Provider Name | Eleanor R Sonnabend |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932850823 PECOS PAC ID: 4284076282 Enrollment ID: I20240522001736 |
| Provider Name | Cassandra Marie Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679140362 PECOS PAC ID: 4385086156 Enrollment ID: I20240524000520 |
| Provider Name | Christa B Lofgren |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790437416 PECOS PAC ID: 5092257253 Enrollment ID: I20240604001846 |
| Provider Name | James Andrew Jozwiak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154049062 PECOS PAC ID: 7618316183 Enrollment ID: I20240605003070 |
| Provider Name | Alicia Norris Lindley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902287519 PECOS PAC ID: 3971045501 Enrollment ID: I20240611000234 |
| Provider Name | Stephanie C Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699357897 PECOS PAC ID: 9436691078 Enrollment ID: I20240611000573 |
| Provider Name | Juli Rae Chapeau |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730744830 PECOS PAC ID: 1254873854 Enrollment ID: I20240611002817 |
| Provider Name | Suzanne Mary Prestridge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841527488 PECOS PAC ID: 3375085871 Enrollment ID: I20240612002335 |
| Provider Name | Jacqueline Pena |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073163564 PECOS PAC ID: 7012459415 Enrollment ID: I20240612002666 |
| Provider Name | Brett Brian Cushing |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730678525 PECOS PAC ID: 0749722171 Enrollment ID: I20240612003505 |
Michelle Beilby Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Long Lake Rd Ste 320, New Brighton, MN 55112 Phone: 651-482-9361 | |
North Metro Psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2475 15th St Nw, Suite D, New Brighton, MN 55112 Phone: 651-636-0941 Fax: 651-697-1209 | |
Jovi Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Long Lake Rd Ste 320, New Brighton, MN 55112 Phone: 651-482-9361 | |
Mike Marek Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 Silver Lake Rd Nw, New Brighton, MN 55112 Phone: 651-308-0450 | |
Healing Path Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 888 County Road D W Ste 213a, New Brighton, MN 55112 Phone: 612-886-5929 | |
North Central Ministry Development Center, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 516 Mission House Ln, New Brighton, MN 55112 Phone: 651-636-5120 Fax: 651-636-5124 | |
Como Behavioral Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 441 Old Highway 8 Nw Ste 213, New Brighton, MN 55112 Phone: 612-876-1144 Fax: 702-975-5779 |