| Secure Base Counseling Center Llc | |
|
570 Professional Dr Northfield MN 55057-2756 | |
| (507) 301-3412 | |
| Not Available |
| Full Name | Secure Base Counseling Center Llc |
|---|---|
| Speciality | Psychologist |
| Location | 570 Professional Dr, Northfield, Minnesota |
| Authorized Official Name and Position | Jennifer Lynn Simpson-dahl (CEO/OWNER) |
| Authorized Official Contact | 5073013412 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Secure Base Counseling Center Llc 570 Professional Dr Northfield MN 55057-2756 Ph: (507) 301-3412 | Secure Base Counseling Center Llc 570 Professional Dr Northfield MN 55057-2756 Ph: (507) 301-3412 |
| NPI Number | 1285905885 |
|---|---|
| Provider Enumeration Date | 01/13/2012 |
| Last Update Date | 03/30/2022 |
| Certification Date | 03/30/2022 |
| Medicare PECOS PAC ID | 8628409299 |
|---|---|
| Medicare Enrollment ID | O20200514001997 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285905885 | NPI | - | NPPES |
| Provider Name | Egle P Otto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487100384 PECOS PAC ID: 9032407028 Enrollment ID: I20161006001134 |
| Provider Name | Amy Mueller Benson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811465958 PECOS PAC ID: 6305172420 Enrollment ID: I20190729000073 |
| Provider Name | Tressa Dykstra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023385887 PECOS PAC ID: 9032385232 Enrollment ID: I20200514002144 |
| Provider Name | Robert James Daun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649899238 PECOS PAC ID: 0143649061 Enrollment ID: I20201030002169 |
| Provider Name | Maggie Carman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811443427 PECOS PAC ID: 4688070436 Enrollment ID: I20210902002445 |
| Provider Name | Lisa R Vanderveen-nagel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538419551 PECOS PAC ID: 8921403320 Enrollment ID: I20210914001834 |
| Provider Name | Martha Jean Barck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629663141 PECOS PAC ID: 7911302153 Enrollment ID: I20210914001933 |
| Provider Name | Kathryn Jessie Lund |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033791033 PECOS PAC ID: 9638577448 Enrollment ID: I20211008001407 |
| Provider Name | Therese Houndt-dalberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861858466 PECOS PAC ID: 0547659021 Enrollment ID: I20211123001448 |
| Provider Name | Olubola Omolara Salabiu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316677602 PECOS PAC ID: 4587039417 Enrollment ID: I20230406002689 |
Daniel Dimick, Ma, Lp, Lmft, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 105 4th St E Ste 304, Northfield, MN 55057 Phone: 507-645-6575 Fax: 507-645-7822 | |
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Create Meaning Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 Winona St, Northfield, MN 55057 Phone: 507-350-7785 | |
Stacey Klempnauer Msw, Licsw Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 402 Washington St, Northfield, MN 55057 Phone: 507-645-0444 | |
Shelley K Hansen, Lsw, Ma, Lp, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 105 East Fourth Street, Suite 302, Northfield, MN 55057 Phone: 612-532-6741 |