| South Central Human Service Center | |
|
520 3rd St Nw Jamestown ND 58401 | |
| (701) 253-6300 | |
| (701) 253-6400 |
| Full Name | South Central Human Service Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 520 3rd St Nw, Jamestown, North Dakota |
| Authorized Official Name and Position | Ashley Gall (BILLING SUPERVISOR) |
| Authorized Official Contact | 7013284583 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Central Human Service Center Po Box 2055 520 3rd St Nw Jamestown ND 58402-2055 Ph: (701) 253-6300 | South Central Human Service Center 520 3rd St Nw Jamestown ND 58401 Ph: (701) 253-6300 |
| NPI Number | 1225075906 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Medicare PECOS PAC ID | 2365420262 |
|---|---|
| Medicare Enrollment ID | O20040708000481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225075906 | NPI | - | NPPES |
| 054521 | Medicaid | ND | |
| CD32316 | Other | ND | RAILROAD MEDICARE |
| 123001 | Other | ND | BCBS OF ND |
| 123001 | Other | ND | BCBS PROVIDER NUMBER |
| Provider Name | Madeline L Free |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003914730 PECOS PAC ID: 7810893070 Enrollment ID: I20031209000508 |
| Provider Name | Laura B Schield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124064431 PECOS PAC ID: 7618966326 Enrollment ID: I20040508000065 |
| Provider Name | Maria De Robles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922145309 PECOS PAC ID: 1557447760 Enrollment ID: I20080328000323 |
| Provider Name | Beth M Hemming |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326087107 PECOS PAC ID: 0042374159 Enrollment ID: I20090203000696 |
| Provider Name | Daniel P Cramer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821237116 PECOS PAC ID: 1759438906 Enrollment ID: I20090406000274 |
| Provider Name | John J Weber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194950527 PECOS PAC ID: 3779637079 Enrollment ID: I20090820000908 |
| Provider Name | Joni M Heine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598708273 PECOS PAC ID: 0648308148 Enrollment ID: I20100504000222 |
| Provider Name | Courtney Mae Reinarts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578761045 PECOS PAC ID: 0648469478 Enrollment ID: I20110111000078 |
| Provider Name | Stacey L Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497812341 PECOS PAC ID: 6204076128 Enrollment ID: I20130717000152 |
| Provider Name | David L Clinkenbeard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871537498 PECOS PAC ID: 4688673437 Enrollment ID: I20141023001554 |
| Provider Name | Cassandra L Monk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477980464 PECOS PAC ID: 4587982913 Enrollment ID: I20150415002497 |
| Provider Name | Stephanie A Jallen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245541895 PECOS PAC ID: 7810126562 Enrollment ID: I20150903002560 |
| Provider Name | Noelle K Riehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346600251 PECOS PAC ID: 5092012021 Enrollment ID: I20160318000611 |
| Provider Name | Chelsea L Modlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013301217 PECOS PAC ID: 3577832880 Enrollment ID: I20170629002084 |
| Provider Name | Nicole L Erasmus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881986180 PECOS PAC ID: 6002172723 Enrollment ID: I20171114001673 |
| Provider Name | Denise R Geringer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033148853 PECOS PAC ID: 1951655349 Enrollment ID: I20181121002832 |
| Provider Name | Michael A Haukaas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356857973 PECOS PAC ID: 6507290764 Enrollment ID: I20191220000614 |
| Provider Name | Susan J Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447851605 PECOS PAC ID: 2769894591 Enrollment ID: I20201218001131 |
| Provider Name | Jennifer L Lusinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003314196 PECOS PAC ID: 1951714096 Enrollment ID: I20210108000713 |
| Provider Name | Kejon L Cote |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619309291 PECOS PAC ID: 7416327929 Enrollment ID: I20221227002375 |
| Provider Name | Amanda M Havelange |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124677406 PECOS PAC ID: 9436515178 Enrollment ID: I20230522003152 |
| Provider Name | Sadiah N Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871087767 PECOS PAC ID: 5597165613 Enrollment ID: I20231102002110 |
| Provider Name | Christina Hemmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508204421 PECOS PAC ID: 8224471883 Enrollment ID: I20240210000421 |
| Provider Name | Melony Ray Sanford |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1811408974 PECOS PAC ID: 5991148470 Enrollment ID: I20240212003728 |
| Provider Name | Monica L Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487154803 PECOS PAC ID: 2163867938 Enrollment ID: I20240302000421 |
| Provider Name | Brandon L Hunter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811506215 PECOS PAC ID: 8921443649 Enrollment ID: I20240304001639 |
| Provider Name | John J Butgereit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629492715 PECOS PAC ID: 2961847603 Enrollment ID: I20240304002307 |
| Provider Name | Kelly L Mattis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841429719 PECOS PAC ID: 8628414216 Enrollment ID: I20240305004155 |
| Provider Name | Tarah E Cavett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922253954 PECOS PAC ID: 3577909076 Enrollment ID: I20240306003838 |
| Provider Name | Kayla L Schneibel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801432844 PECOS PAC ID: 9032557830 Enrollment ID: I20240328003798 |
| Provider Name | Alyssa L Eppen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477166189 PECOS PAC ID: 4385082189 Enrollment ID: I20240328003881 |
| Provider Name | Amy M Fox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407187982 PECOS PAC ID: 6507204641 Enrollment ID: I20240409001025 |
Alpha Opportunities, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 14th St Ne, Jamestown, ND 58401 Phone: 701-252-0162 | |
Holistic Recovery Training Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 2nd Ave Sw, Jamestown, ND 58401 Phone: 701-680-5207 | |
Grenz Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 429 2nd St Sw Ste 207, Jamestown, ND 58401 Phone: 701-595-0422 | |
Sanford Health Jamestown Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 5th Ave Ne, Jamestown, ND 58401 Phone: 701-253-4000 | |
South Central Human Service Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 3rd St Nw, Jamestown, ND 58402 Phone: 701-253-6400 Fax: 701-253-6400 | |
St. Thomas Counseling Center, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 1st Ave S # 5, Jamestown, ND 58401 Phone: 701-269-0765 |