| Vona Center For Mental Health | |
|
9220 Bass Lake Rd Ste 255 New Hope MN 55428-3019 | |
| (763) 225-4052 | |
| (888) 965-5130 |
| Full Name | Vona Center For Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 9220 Bass Lake Rd Ste 255, New Hope, Minnesota |
| Authorized Official Name and Position | Sarah Fjelstul (VP FINANCE) |
| Authorized Official Contact | 7632254000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vona Center For Mental Health 9220 Bass Lake Rd Ste 255 New Hope MN 55428-3019 Ph: (763) 252-4052 | Vona Center For Mental Health 9220 Bass Lake Rd Ste 255 New Hope MN 55428-3019 Ph: (763) 225-4052 |
| NPI Number | 1093769572 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 10/27/2020 |
| Certification Date | 10/21/2020 |
| Medicare PECOS PAC ID | 8123050259 |
|---|---|
| Medicare Enrollment ID | O20050915000161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093769572 | NPI | - | NPPES |
| 694319501 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jaime L Monson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538265210 PECOS PAC ID: 2466479530 Enrollment ID: I20051027000919 |
| Provider Name | Rebecca L Goffman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003048885 PECOS PAC ID: 7416132790 Enrollment ID: I20110502000354 |
| Provider Name | Sheila A Hoemberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689753741 PECOS PAC ID: 0446425763 Enrollment ID: I20111214000478 |
| Provider Name | Lynn Marie Bloom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255734240 PECOS PAC ID: 6608194154 Enrollment ID: I20150413000862 |
| Provider Name | Melinda Lee Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447656996 PECOS PAC ID: 8022338896 Enrollment ID: I20150519000197 |
| Provider Name | Tiffany I Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982063657 PECOS PAC ID: 2062710056 Enrollment ID: I20160407000149 |
| Provider Name | Sarah M Villafranca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154899219 PECOS PAC ID: 5193062339 Enrollment ID: I20190128000349 |
| Provider Name | Alethia P Moua |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174920599 PECOS PAC ID: 1557694577 Enrollment ID: I20190725000853 |
| Provider Name | Ingrid Christina Benyaminowich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790345742 PECOS PAC ID: 7618307091 Enrollment ID: I20200427001447 |
| Provider Name | Jana K Dreyzehner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063407773 PECOS PAC ID: 2860437142 Enrollment ID: I20200609000700 |
| Provider Name | Tara Noelle Tappe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003402231 PECOS PAC ID: 4082029178 Enrollment ID: I20210223002921 |
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