| 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 | 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 |
| Provider Name | Michelle Nicole Iversen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033557152 PECOS PAC ID: 6204288178 Enrollment ID: I20240116002917 |
| Provider Name | Kadie Ausherbauer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1316542384 PECOS PAC ID: 7315482700 Enrollment ID: I20240710000737 |
| 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 | Krista Ann Dufresne Lee |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104101369 PECOS PAC ID: 7214472554 Enrollment ID: I20240711001308 |
| Provider Name | Aaron Jonathan Close |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376307710 PECOS PAC ID: 0648715896 Enrollment ID: I20240711002212 |
| Provider Name | Robert Granquist |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235764895 PECOS PAC ID: 2961947130 Enrollment ID: I20240711002934 |
| Provider Name | Lindsey Jerome Zemanek |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417511759 PECOS PAC ID: 6305381583 Enrollment ID: I20240711003482 |
| Provider Name | Victoria Soltis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447516323 PECOS PAC ID: 1759826951 Enrollment ID: I20240711003919 |
| Provider Name | Carolyn Ann K. Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235733460 PECOS PAC ID: 3072058114 Enrollment ID: I20240712000989 |
| Provider Name | Paige Kreuser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205400405 PECOS PAC ID: 7315482452 Enrollment ID: I20240712001058 |
| Provider Name | Haley Cecile Raifsnider |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457902025 PECOS PAC ID: 6406391556 Enrollment ID: I20240712001426 |
| Provider Name | Emily Jaye Like Schuleman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114465523 PECOS PAC ID: 0345785408 Enrollment ID: I20240712001704 |
| Provider Name | Katherine Glidden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578193751 PECOS PAC ID: 0446795520 Enrollment ID: I20240712002469 |
| Provider Name | Miranda M Johnson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558958462 PECOS PAC ID: 6406391457 Enrollment ID: I20240715000323 |
| Provider Name | Jennifer Simpson-dahl |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811431356 PECOS PAC ID: 1355772922 Enrollment ID: I20240715001117 |
| Provider Name | Gregory Scott Schlichter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003326562 PECOS PAC ID: 3870038763 Enrollment ID: I20240716001351 |
| Provider Name | Kendelle Perkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104426725 PECOS PAC ID: 9133666704 Enrollment ID: I20240731002538 |
| Provider Name | Erin Elizabeth Kelly Dew |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831890771 PECOS PAC ID: 2769920693 Enrollment ID: I20240809003321 |
| Provider Name | Patricia Lea Beaudoin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013621770 PECOS PAC ID: 7012455959 Enrollment ID: I20240809003413 |
| Provider Name | Penny Sue Malecha-nagel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164100095 PECOS PAC ID: 3173061918 Enrollment ID: I20240812003437 |
| Provider Name | Mackenzie Joan Remackel Kapsch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770247009 PECOS PAC ID: 8022556711 Enrollment ID: I20240813001535 |
| Provider Name | Jane W Murphy |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144318114 PECOS PAC ID: 3870031362 Enrollment ID: I20240815000579 |
| Provider Name | Katie Jo Shadrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275015786 PECOS PAC ID: 2860931037 Enrollment ID: I20240902000010 |
| Provider Name | Jillian Grace Sharp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801364641 PECOS PAC ID: 0042666471 Enrollment ID: I20241030003141 |
| Provider Name | Roberta Lee Mathern |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487743977 PECOS PAC ID: 4880120930 Enrollment ID: I20241212000763 |
Daniel Dimick, Ma, Lp, Lmft, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 4th St E Ste 304, Northfield, MN 55057 Phone: 507-645-6575 Fax: 507-645-7822 | |
Tena Roethle Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 400 Washington St Ste 229, Northfield, MN 55057 Phone: 507-951-8500 | |
Just Bee Psychotherapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St Ste 221, Northfield, MN 55057 Phone: 612-470-7031 | |
Centered Practice Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 401 Division St S, Suite C, Northfield, MN 55057 Phone: 507-649-7294 | |
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 |