| Unitypoint Health-berryhill Center | |
|
720 Kenyon Rd Fort Dodge IA 50501-5759 | |
| (515) 955-7171 | |
| (515) 573-7898 |
| Full Name | Unitypoint Health-berryhill Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 720 Kenyon Rd, Fort Dodge, Iowa |
| Authorized Official Name and Position | Jennifer Pullen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5159557171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unitypoint Health-berryhill Center 720 Kenyon Rd Fort Dodge IA 50501-5759 Ph: (515) 955-7171 | Unitypoint Health-berryhill Center 720 Kenyon Rd Fort Dodge IA 50501-5759 Ph: (515) 955-7171 |
| NPI Number | 1922188606 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 01/20/2022 |
| Certification Date | 01/05/2022 |
| Medicare PECOS PAC ID | 1153210232 |
|---|---|
| Medicare Enrollment ID | O20040315000923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922188606 | NPI | - | NPPES |
| 0159608 | Medicaid | IA | |
| 07466 | Other | IA | WELLMARK BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Joan L Kitten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629003272 PECOS PAC ID: 7517962806 Enrollment ID: I20060920000048 |
| Provider Name | Melanie K Porter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568543270 PECOS PAC ID: 4486652377 Enrollment ID: I20061202000030 |
| Provider Name | Caryl M Fuoss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871560714 PECOS PAC ID: 9537353883 Enrollment ID: I20101030000118 |
| Provider Name | Azeza B Uddin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255516522 PECOS PAC ID: 6204980469 Enrollment ID: I20140403000627 |
| Provider Name | Lori J Ohrt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104885375 PECOS PAC ID: 5294967451 Enrollment ID: I20140422002173 |
| Provider Name | Jamey L Gregersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164823092 PECOS PAC ID: 1355561747 Enrollment ID: I20141007001731 |
| Provider Name | Dean L Guerdet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922455096 PECOS PAC ID: 1658669023 Enrollment ID: I20161018001668 |
| Provider Name | Katelyn M Thompson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063853935 PECOS PAC ID: 8628209228 Enrollment ID: I20170628000267 |
| Provider Name | Tenaea M Jeppeson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043703887 PECOS PAC ID: 7517216187 Enrollment ID: I20180815003565 |
| Provider Name | Emma M Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386062784 PECOS PAC ID: 7810313442 Enrollment ID: I20200813001677 |
| Provider Name | Katie K Mogensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518567056 PECOS PAC ID: 4981018124 Enrollment ID: I20210128001820 |
| Provider Name | Jennifer Pullen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437433554 PECOS PAC ID: 7214323302 Enrollment ID: I20231212001105 |
| Provider Name | Emily Schoon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023604899 PECOS PAC ID: 8729437090 Enrollment ID: I20231212001671 |
| Provider Name | Kelli A Reuter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699392597 PECOS PAC ID: 4385093517 Enrollment ID: I20231213000199 |
| Provider Name | Amber Lawrence |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447810791 PECOS PAC ID: 2961851951 Enrollment ID: I20231215002817 |
| Provider Name | Kurt T Volkert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578871752 PECOS PAC ID: 9032569959 Enrollment ID: I20231219000910 |
| Provider Name | Alycia Julia Wirtz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447846167 PECOS PAC ID: 5698125177 Enrollment ID: I20231226000097 |
| Provider Name | Kelsey Jo Gebel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750164992 PECOS PAC ID: 2769832047 Enrollment ID: I20231228002584 |
| Provider Name | Donna Reit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699195727 PECOS PAC ID: 2466802400 Enrollment ID: I20240103001124 |
Youth Shelter Care Of North Central Iowa Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Avenue M W, Fort Dodge, IA 50501 Phone: 515-955-4834 Fax: 515-955-6828 | |
Iowa Central Industries Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 Avenue M, Fort Dodge, IA 50501 Phone: 515-576-2126 Fax: 515-576-2251 | |
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Sayer Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1728 Central Ave, Suite 10, Fort Dodge, IA 50501 Phone: 515-576-8119 Fax: 844-570-5061 | |
Empowering Grounds Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 531 S 29th St Ste 1, Fort Dodge, IA 50501 Phone: 515-576-9376 | |
Lincoln Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 Central Ave, Suite 420, Fort Dodge, IA 50501 Phone: 515-955-1836 Fax: 515-955-7115 | |
Catholic Charities Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 3rd Ave Nw, Suite 1, Fort Dodge, IA 50501 Phone: 515-576-4156 Fax: 515-576-6998 |