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245 Ruth St N Ste 200 Saint Paul MN 55119-4409 | |
| (651) 955-4633 | |
| (651) 440-9827 |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 245 Ruth St N Ste 200, Saint Paul, Minnesota |
| Authorized Official Name and Position | Jennifer Lee Pinion (PRESIDENT) |
| Authorized Official Contact | 6519554633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
245 Ruth St N Ste 200 Saint Paul MN 55119-4409 Ph: (651) 955-4633 | 245 Ruth St N Ste 200 Saint Paul MN 55119-4409 Ph: (651) 955-4633 |
| NPI Number | 1891110177 |
|---|---|
| Provider Enumeration Date | 02/24/2014 |
| Last Update Date | 05/02/2024 |
| Certification Date | 05/02/2024 |
| Medicare PECOS PAC ID | 1557804390 |
|---|---|
| Medicare Enrollment ID | O20240620003130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891110177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 2166 (Minnesota) | Primary |
| Provider Name | Raishma Majeed |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942870837 PECOS PAC ID: 8022460203 Enrollment ID: I20240124000273 |
| Provider Name | Jennifer Lee Pinion |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992910525 PECOS PAC ID: 2466995212 Enrollment ID: I20240620003382 |
| Provider Name | Denise Marie Rickenbach |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992351225 PECOS PAC ID: 3577007855 Enrollment ID: I20240627001539 |
| Provider Name | Christina Elizabeth Goodman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568092781 PECOS PAC ID: 3870038136 Enrollment ID: I20240710003968 |
| Provider Name | Rebekah Jean Windschitl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275987141 PECOS PAC ID: 5698214617 Enrollment ID: I20240822000658 |
| Provider Name | Kat Christine Ludwig |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780997056 PECOS PAC ID: 5092254326 Enrollment ID: I20240829003257 |
| Provider Name | Amanda Rose Nusbaum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679168876 PECOS PAC ID: 3072052281 Enrollment ID: I20240830002065 |
| Provider Name | Juhee Kwon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689454654 PECOS PAC ID: 0446799563 Enrollment ID: I20240903001846 |
| Provider Name | Kimberly Jean Dejno |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265948186 PECOS PAC ID: 0941731269 Enrollment ID: I20240926004583 |
| Provider Name | Alexandra Dee Zickermann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144974221 PECOS PAC ID: 1254862733 Enrollment ID: I20241008003560 |
| Provider Name | Mary Katherine Hendrickson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588036511 PECOS PAC ID: 2163954116 Enrollment ID: I20241015002028 |
| Provider Name | Ann Elizabeth Joan Miskovich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134687817 PECOS PAC ID: 9436681335 Enrollment ID: I20241016004480 |
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