| Shoreview Mental Health Center, Llc | |
|
5985 Rice Creek Pkwy Ste 201 Shoreview MN 55126-5037 | |
| (651) 348-7240 | |
| (651) 348-7265 |
| Full Name | Shoreview Mental Health Center, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5985 Rice Creek Pkwy Ste 201, Shoreview, Minnesota |
| Authorized Official Name and Position | Jeanette Balfe-groh (MANAGING MEMBER) |
| Authorized Official Contact | 6512478128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreview Mental Health Center, Llc 5985 Rice Creek Pkwy Ste 201 Shoreview MN 55126-5037 Ph: (651) 247-8128 | Shoreview Mental Health Center, Llc 5985 Rice Creek Pkwy Ste 201 Shoreview MN 55126-5037 Ph: (651) 348-7240 |
| NPI Number | 1558735779 |
|---|---|
| Provider Enumeration Date | 11/27/2015 |
| Last Update Date | 02/27/2018 |
| Medicare PECOS PAC ID | 6204121338 |
|---|---|
| Medicare Enrollment ID | O20160829000373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558735779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP5097 (Minnesota) | Primary |
| Provider Name | Jeanette M Balfe-groh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730365511 PECOS PAC ID: 7810038262 Enrollment ID: I20100106000876 |
| Provider Name | Michelle E Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962850065 PECOS PAC ID: 4284929316 Enrollment ID: I20160829000126 |
| Provider Name | Mary K English |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487951851 PECOS PAC ID: 4981966512 Enrollment ID: I20180320001556 |
| Provider Name | Migdalia Dominguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114472008 PECOS PAC ID: 6608131214 Enrollment ID: I20180601000978 |
Veritas Counseling Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 470 Highway 96 W Ste 260, Shoreview, MN 55126 Phone: 651-237-3767 | |
Elaine K Johnson Ma Lp Ladc Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 Tanglewood Dr, Shoreview, MN 55126 Phone: 612-801-5826 Fax: 651-490-5215 | |
Pathway Virtu-health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4570 Churchill St Ste 140, Shoreview, MN 55126 Phone: 612-517-1293 Fax: 612-349-2790 | |
Keystone Counseling And Consulting Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4700 Lexington Ave N Ste B, Shoreview, MN 55126 Phone: 651-421-0815 | |
Thomas M Graske, M.a., L.p. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 Tanglewood Dr, Shoreview, MN 55126 Phone: 763-753-1785 Fax: 763-753-1753 | |
Stephanie A Johnson Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3550 Lexington Ave N Ste 207, Shoreview, MN 55126 Phone: 651-354-1443 | |
Outreach Counseling & Consulting Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3570 Lexington Ave N, Suite 100, Shoreview, MN 55126 Phone: 651-481-0664 Fax: 651-481-3907 |