| Southwestern Mental Health Center Inc | |
|
117 S Spring St Luverne MN 56156-1916 | |
| (507) 283-9511 | |
| (507) 283-9514 |
| Full Name | Southwestern Mental Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 117 S Spring St, Luverne, Minnesota |
| Authorized Official Name and Position | Luke Jerome Comeau (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5072839511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwestern Mental Health Center Inc Po Box 686 Luverne MN 56156-0686 Ph: (507) 283-9511 | Southwestern Mental Health Center Inc 117 S Spring St Luverne MN 56156-1916 Ph: (507) 283-9511 |
| NPI Number | 1487654562 |
|---|---|
| Provider Enumeration Date | 07/29/2005 |
| Last Update Date | 02/29/2024 |
| Certification Date | 02/29/2024 |
| Medicare PECOS PAC ID | 7012816812 |
|---|---|
| Medicare Enrollment ID | O20031231000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487654562 | NPI | - | NPPES |
| 48828SO | Other | MN | BLUE CROSS BLUE SHIELD |
| 500636800 | Medicaid | MN | |
| 534855200 | Medicaid | MN | |
| 114833 | Other | MN | UCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 831125 (Minnesota) | Primary |
| Provider Name | Heather L Bajema |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922276195 PECOS PAC ID: 9739266438 Enrollment ID: I20080404000554 |
| Provider Name | Nicole Christenson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730265752 PECOS PAC ID: 8628149291 Enrollment ID: I20080812000765 |
| Provider Name | Stacy A Schepel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073832713 PECOS PAC ID: 3173715828 Enrollment ID: I20101013000343 |
| Provider Name | Ree L Tschetter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861595142 PECOS PAC ID: 4082807953 Enrollment ID: I20101023000160 |
| Provider Name | Philip J Voigt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114039211 PECOS PAC ID: 5294920534 Enrollment ID: I20101111000939 |
| Provider Name | William Clark Fuller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518939024 PECOS PAC ID: 5294729885 Enrollment ID: I20101112000863 |
| Provider Name | Sadaf Islam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760626550 PECOS PAC ID: 7719107655 Enrollment ID: I20150618002061 |
| Provider Name | Jessica L Grant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700210226 PECOS PAC ID: 8426322470 Enrollment ID: I20170914003158 |
| Provider Name | Veronica Sherwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194218966 PECOS PAC ID: 5395092472 Enrollment ID: I20190717003381 |
| Provider Name | Sheila Middagh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164076741 PECOS PAC ID: 7618206756 Enrollment ID: I20190916000016 |
| Provider Name | Terica Toliver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164948881 PECOS PAC ID: 3274960125 Enrollment ID: I20200305001493 |
| Provider Name | Afton M Artz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407348113 PECOS PAC ID: 5496182909 Enrollment ID: I20200707001641 |
| Provider Name | Revel S Degen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841822004 PECOS PAC ID: 0547685893 Enrollment ID: I20201002001524 |
| Provider Name | Anne M Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629735469 PECOS PAC ID: 6103218656 Enrollment ID: I20220113001934 |
| Provider Name | Stacie L Jorgenson-rentschler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992474639 PECOS PAC ID: 2062805468 Enrollment ID: I20220208000598 |
| Provider Name | Brian Merrill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982648929 PECOS PAC ID: 3072575802 Enrollment ID: I20230221001821 |
| Provider Name | Rachel L Scharlepp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912296526 PECOS PAC ID: 9234317728 Enrollment ID: I20230425001492 |
| Provider Name | Sara Lynn Adkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841521028 PECOS PAC ID: 4587780366 Enrollment ID: I20230620001842 |
| Provider Name | Erika J Warren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417474701 PECOS PAC ID: 9436147956 Enrollment ID: I20230623001867 |
| Provider Name | Jessica M Revell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093328965 PECOS PAC ID: 3173988771 Enrollment ID: I20230725002719 |
| Provider Name | Falisia A Cotten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225459555 PECOS PAC ID: 8426460023 Enrollment ID: I20230822002799 |
| Provider Name | Gayatri Doshi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609266089 PECOS PAC ID: 9739533670 Enrollment ID: I20230927001085 |
| Provider Name | Charlotte R Heinz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336622273 PECOS PAC ID: 0244674034 Enrollment ID: I20240220003895 |
| Provider Name | Danielle Sonnek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255991543 PECOS PAC ID: 4284079690 Enrollment ID: I20240226000945 |
| Provider Name | Kelly J Hollingsworth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073255774 PECOS PAC ID: 0941645097 Enrollment ID: I20240228001614 |
| Provider Name | Malea A Beeson Stoesz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124577614 PECOS PAC ID: 2365888138 Enrollment ID: I20240314003810 |
| Provider Name | Kori J Guza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548806839 PECOS PAC ID: 6406294271 Enrollment ID: I20240329002366 |
| Provider Name | Katie Y Depanfilis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669002895 PECOS PAC ID: 7416395199 Enrollment ID: I20240401000267 |
| Provider Name | Tami Y Wesselink |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467082099 PECOS PAC ID: 1456799675 Enrollment ID: I20240409000272 |
| Provider Name | Maria Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700397221 PECOS PAC ID: 0749627495 Enrollment ID: I20240415002823 |
| Provider Name | Kelsey Woodford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639921620 PECOS PAC ID: 2961841051 Enrollment ID: I20240423000960 |
Dawson And Company Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Elm St, Luverne, MN 56156 Phone: 833-865-8273 | |
Mind Bloom Counseling P.l.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 N Cedar St Ste A, Luverne, MN 56156 Phone: 507-608-5979 Fax: 507-607-8774 | |
Healing Path Counseling & Wellness, P.l.l.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 215 N. Cedar St., Luverne, MN 56156 Phone: 507-449-6145 | |
Luverne Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 118 W Main St, Luverne, MN 56156 Phone: 507-525-7090 | |
Banyan Tree Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 N Cedar St Ste B, Luverne, MN 56156 Phone: 507-920-9170 Fax: 507-449-6146 | |
Southwestern Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 S Spring St, Luverne, MN 56156 Phone: 507-283-9511 Fax: 507-283-9514 |