| Parker Collins Family Mental Health, Pllc | |
|
1056 Centerville Cir Vadnais Heights MN 55127-6344 | |
| (651) 604-7771 | |
| Not Available |
| Full Name | Parker Collins Family Mental Health, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1056 Centerville Cir, Vadnais Heights, Minnesota |
| Authorized Official Name and Position | Jeffrey Hill (OWNER) |
| Authorized Official Contact | 6516047771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parker Collins Family Mental Health, Pllc 1056 Centerville Cir Vadnais Heights MN 55127-6360 Ph: (651) 604-7771 | Parker Collins Family Mental Health, Pllc 1056 Centerville Cir Vadnais Heights MN 55127-6344 Ph: (651) 604-7771 |
| NPI Number | 1487927067 |
|---|---|
| Provider Enumeration Date | 02/14/2012 |
| Last Update Date | 06/03/2016 |
| Medicare PECOS PAC ID | 8325338031 |
|---|---|
| Medicare Enrollment ID | O20160609000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487927067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LP5464 (Minnesota) | Primary |
| Provider Name | Victoria C Valena |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1851360671 PECOS PAC ID: 3971850470 Enrollment ID: I20180714000000 |
| Provider Name | Matthew Kingsbury |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104224120 PECOS PAC ID: 2062894884 Enrollment ID: I20220726003250 |
| Provider Name | Aubree Rose Elmquist |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770150948 PECOS PAC ID: 5294188132 Enrollment ID: I20240127000171 |
| Provider Name | Omoyeni Oyederu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346022290 PECOS PAC ID: 5799129482 Enrollment ID: I20240221002808 |
| Provider Name | Trevor Lecocq |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134679707 PECOS PAC ID: 5991149601 Enrollment ID: I20240221003534 |
| Provider Name | Soo Y Moon |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548539042 PECOS PAC ID: 4486944196 Enrollment ID: I20240228000284 |
| Provider Name | Jessica Groff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306293816 PECOS PAC ID: 7012352768 Enrollment ID: I20240304002479 |
| Provider Name | Melodie Illies |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952662611 PECOS PAC ID: 9032555453 Enrollment ID: I20240307003296 |
| Provider Name | Alison Yang |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003305061 PECOS PAC ID: 6507206638 Enrollment ID: I20240506003906 |
| Provider Name | Chanel Shanni Lopez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861067233 PECOS PAC ID: 2769925585 Enrollment ID: I20240621001489 |
Metanoia Therapy, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1044 Centerville Cir, Vadnais Heights, MN 55127 Phone: 612-467-9212 | |