| Rum River Counseling, Inc. | |
|
1875 Station Pkwy Nw Ste 100 Andover MN 55304-3319 | |
| (763) 482-9598 | |
| (612) 235-6447 |
| Full Name | Rum River Counseling, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1875 Station Pkwy Nw Ste 100, Andover, Minnesota |
| Authorized Official Name and Position | Jennifer Holdredge (OWNER) |
| Authorized Official Contact | 7634829598 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rum River Counseling, Inc. 1875 Station Pkwy Nw Ste A Andover MN 55304-3318 Ph: (612) 382-0032 | Rum River Counseling, Inc. 1875 Station Pkwy Nw Ste 100 Andover MN 55304-3319 Ph: (763) 482-9598 |
| NPI Number | 1073578472 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 06/12/2023 |
| Certification Date | 06/11/2023 |
| Medicare PECOS PAC ID | 0941661482 |
|---|---|
| Medicare Enrollment ID | O20230801001915 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073578472 | NPI | - | NPPES |
| 102200 | Other | MN | HEALTHPARTNERS |
| 178H8RU | Other | MN | BLUE CROSS BLUE SHIELD |
| 827933000 | Medicaid | MN | |
| 053N2RU | Other | MN | BLUE CROSS BLUE SHIELD |
| 190G6RU | Other | MN | BLUE CROSS BLUE SHIELD |
| Provider Name | Katie A Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518046374 PECOS PAC ID: 9931203007 Enrollment ID: I20070329000211 |
| Provider Name | Sheila L Kosek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164481974 PECOS PAC ID: 4385896976 Enrollment ID: I20121205000358 |
| 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 | Amber Schneider |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184036329 PECOS PAC ID: 4284858564 Enrollment ID: I20140605001969 |
| Provider Name | Kimberly Bauman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114330248 PECOS PAC ID: 1557586732 Enrollment ID: I20140701001756 |
| Provider Name | Christina Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962908160 PECOS PAC ID: 7416206339 Enrollment ID: I20180824002380 |
| Provider Name | Brittney L Wacek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265058721 PECOS PAC ID: 3476977182 Enrollment ID: I20200728000132 |
| Provider Name | Brooke Marie Mollan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922736891 PECOS PAC ID: 0941650337 Enrollment ID: I20231227002419 |
| Provider Name | Amber Courtney Buren |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548435340 PECOS PAC ID: 2860842267 Enrollment ID: I20231227002796 |
| Provider Name | Michelle Rose Strafelda |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629600689 PECOS PAC ID: 3971953977 Enrollment ID: I20240102003833 |
| Provider Name | Mark Molyneaux |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962851303 PECOS PAC ID: 9931559903 Enrollment ID: I20240103002340 |
| Provider Name | Amanda Schmidt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366079014 PECOS PAC ID: 0244680213 Enrollment ID: I20240103002526 |
| Provider Name | Jeanette Michele Mcgie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689227860 PECOS PAC ID: 5799135760 Enrollment ID: I20240103002530 |
| Provider Name | Jennifer Lynn Phoenix |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831837319 PECOS PAC ID: 4486004462 Enrollment ID: I20240103002700 |
| Provider Name | Kellan Vencil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083143655 PECOS PAC ID: 3870945173 Enrollment ID: I20240123002082 |
| Provider Name | Christopher Robert Keating |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174218002 PECOS PAC ID: 1951763960 Enrollment ID: I20240124004741 |
| Provider Name | Tara Lebaron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124490453 PECOS PAC ID: 7113370016 Enrollment ID: I20240126002611 |
| Provider Name | Lilia Imgrund |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619365848 PECOS PAC ID: 1759724990 Enrollment ID: I20240205003436 |
| Provider Name | Sarah K Theisen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588448138 PECOS PAC ID: 3678916079 Enrollment ID: I20240213000155 |
| Provider Name | Leah Kristine Faiad |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1649942749 PECOS PAC ID: 0749624104 Enrollment ID: I20240214001147 |
| Provider Name | Jennifer S Holdredge |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932164340 PECOS PAC ID: 9133580574 Enrollment ID: I20240214002586 |
| Provider Name | Luke Lynden Mclain |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245623925 PECOS PAC ID: 1658715263 Enrollment ID: I20240221003836 |
| Provider Name | Brendan Sheehan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821690603 PECOS PAC ID: 9436509791 Enrollment ID: I20240223002531 |
| Provider Name | Jodi Ann Smith |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437470754 PECOS PAC ID: 6103261490 Enrollment ID: I20240227000153 |
| Provider Name | Rita Martin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104332634 PECOS PAC ID: 2264877513 Enrollment ID: I20240227002208 |
| Provider Name | Jessica Bauman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598824500 PECOS PAC ID: 6103261391 Enrollment ID: I20240227003776 |
| Provider Name | Phillip Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497108898 PECOS PAC ID: 9436463130 Enrollment ID: I20240228002235 |
| Provider Name | Megan Elizabeth Wallin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962987552 PECOS PAC ID: 3476998451 Enrollment ID: I20240229001491 |
| Provider Name | Katelyn Hejna |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164803748 PECOS PAC ID: 1658721758 Enrollment ID: I20240229001885 |
| Provider Name | Lauren Keating |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013512698 PECOS PAC ID: 9133578008 Enrollment ID: I20240229002347 |
| Provider Name | Katie Beedle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912504432 PECOS PAC ID: 7911369707 Enrollment ID: I20240229004229 |
| Provider Name | Judith Salsido Kumenda |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235685017 PECOS PAC ID: 1355786088 Enrollment ID: I20240304001771 |
| Provider Name | Ondrea Lee Bryans |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275124117 PECOS PAC ID: 7911342662 Enrollment ID: I20240304002512 |
| Provider Name | Anna Ellis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679232136 PECOS PAC ID: 1052756723 Enrollment ID: I20240304003508 |
| Provider Name | Andrea Lane |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760082143 PECOS PAC ID: 0648617951 Enrollment ID: I20240322000407 |
| Provider Name | Shereen O'malley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760439327 PECOS PAC ID: 8527402114 Enrollment ID: I20240411001270 |
| Provider Name | Cynthia Roeller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942656830 PECOS PAC ID: 0042659260 Enrollment ID: I20240419001810 |
| 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 | Julie Marie Boelke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982101028 PECOS PAC ID: 2567802846 Enrollment ID: I20240503000753 |
| Provider Name | Ashley Marie Zech |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407535669 PECOS PAC ID: 5193165256 Enrollment ID: I20240507000103 |
| Provider Name | Jeffrey Ronald Hoffman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881243723 PECOS PAC ID: 0941640031 Enrollment ID: I20240507001435 |
Life Essentials Psychology Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 13750 Crosstown Dr Nw Ste 206, Andover, MN 55304 Phone: 763-317-8255 Fax: 888-972-1656 | |
Agape Christian Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 791 139th Ln Nw, Andover, MN 55304 Phone: 763-862-2211 Fax: 763-862-2211 | |
Conscious Healing Counseling Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2705 Bunker Lake Blvd Nw Ste 112, Andover, MN 55304 Phone: 815-973-0999 | |
Northern Therapy And Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13750 Crosstown Dr Nw Ste L102, Andover, MN 55304 Phone: 763-568-7622 Fax: 763-703-5900 | |
Wildflower Therapy Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13750 Crosstown Dr Nw Ste 102, Andover, MN 55304 Phone: 763-200-1215 | |
Lifequest Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15798 Linnet St Nw, Andover, MN 55304 Phone: 651-263-0004 |