| Western Mental Health Center, Inc. | |
|
1212 E College Dr Marshall MN 56258-2010 | |
| (507) 532-3607 | |
| (507) 532-3350 |
| Full Name | Western Mental Health Center, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 1212 E College Dr, Marshall, Minnesota |
| Authorized Official Name and Position | Sarah Marie Ackerman (HUMAN RESOURCE MANAGER) |
| Authorized Official Contact | 5075323607 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Mental Health Center, Inc. 1212 E College Dr Marshall MN 56258-2010 Ph: (507) 532-3607 | Western Mental Health Center, Inc. 1212 E College Dr Marshall MN 56258-2010 Ph: (507) 532-3607 |
| NPI Number | 1982613311 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 12/04/2015 |
| Medicare PECOS PAC ID | 7315856119 |
|---|---|
| Medicare Enrollment ID | O20040226000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982613311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 802678-2-MHC (Minnesota) | Primary |
| Provider Name | Deann L Reese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457363632 PECOS PAC ID: 3678527710 Enrollment ID: I20050310000858 |
| Provider Name | Shawna Ln Ehlenbach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962561142 PECOS PAC ID: 2860449063 Enrollment ID: I20050331000077 |
| Provider Name | Clay J Pavlis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629018445 PECOS PAC ID: 5092757161 Enrollment ID: I20050531000112 |
| Provider Name | Al L Holloway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699845131 PECOS PAC ID: 8325049117 Enrollment ID: I20070207000258 |
| Provider Name | Buddy Wayne Lile |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104858612 PECOS PAC ID: 4587658893 Enrollment ID: I20070316000218 |
| Provider Name | Erin L Kletscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154495935 PECOS PAC ID: 8022157692 Enrollment ID: I20091120000554 |
| Provider Name | Brian D Boersma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205848553 PECOS PAC ID: 0749473627 Enrollment ID: I20101023000244 |
| Provider Name | Angela L Deadrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275849838 PECOS PAC ID: 0042456238 Enrollment ID: I20130412000395 |
| Provider Name | Jennifer L Briest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780006858 PECOS PAC ID: 4981833019 Enrollment ID: I20140212000487 |
| Provider Name | Susana Njuakom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942675368 PECOS PAC ID: 3870894942 Enrollment ID: I20151214002247 |
| Provider Name | Tanya D Wozniak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023150612 PECOS PAC ID: 6204991664 Enrollment ID: I20160706002527 |
| Provider Name | Deborah J Cleveland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760833198 PECOS PAC ID: 7517251770 Enrollment ID: I20160810001964 |
| Provider Name | Nichole L Sonderman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114217270 PECOS PAC ID: 3476849720 Enrollment ID: I20160913000389 |
| Provider Name | Kari A Schwecke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487027363 PECOS PAC ID: 7810285616 Enrollment ID: I20161011001928 |
| Provider Name | Mark W Chapman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679559819 PECOS PAC ID: 9537055637 Enrollment ID: I20180206001297 |
| Provider Name | Kristen M Henley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316361272 PECOS PAC ID: 0345533436 Enrollment ID: I20180410003154 |
| Provider Name | Angela J Daub |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831693092 PECOS PAC ID: 2264795723 Enrollment ID: I20180413002213 |
| Provider Name | Michael A Larson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154829497 PECOS PAC ID: 3870857808 Enrollment ID: I20180427002139 |
| Provider Name | Darci Van Dyke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801264262 PECOS PAC ID: 7810222858 Enrollment ID: I20190712000352 |
| Provider Name | Scena Dethlefs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669023693 PECOS PAC ID: 9133554793 Enrollment ID: I20200109000463 |
| Provider Name | Megan C Benedict |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104480599 PECOS PAC ID: 4789010497 Enrollment ID: I20200128002177 |
| Provider Name | Keith B Block |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558751933 PECOS PAC ID: 3779809769 Enrollment ID: I20200304001279 |
| Provider Name | Kathleen J Raml |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497372718 PECOS PAC ID: 7618393125 Enrollment ID: I20200915001524 |
| Provider Name | Enitan O Ekwotafia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598904278 PECOS PAC ID: 6800051665 Enrollment ID: I20210125000703 |
| Provider Name | Nkechi A Saleh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053869750 PECOS PAC ID: 5991085623 Enrollment ID: I20210202001019 |
| Provider Name | Joseph Samuel Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992349153 PECOS PAC ID: 4082029731 Enrollment ID: I20210211000082 |
| Provider Name | Stephanie Clausen-swenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154727105 PECOS PAC ID: 4082014121 Enrollment ID: I20210611001072 |
| Provider Name | Carlan M Fergason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932873908 PECOS PAC ID: 7517364169 Enrollment ID: I20210923002186 |
| Provider Name | Amy Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598435570 PECOS PAC ID: 2860890167 Enrollment ID: I20211015002384 |
| Provider Name | Blake E Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982259784 PECOS PAC ID: 3375872534 Enrollment ID: I20211020002450 |
| Provider Name | Nicole Wellendorf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831559913 PECOS PAC ID: 8123416047 Enrollment ID: I20211026003153 |
| Provider Name | Talicia Koester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376205377 PECOS PAC ID: 8123416575 Enrollment ID: I20211104000023 |
| Provider Name | Ediomi Edet Enebong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356996326 PECOS PAC ID: 5496086001 Enrollment ID: I20211209002599 |
| Provider Name | Molly J Verhelst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629709274 PECOS PAC ID: 5496138828 Enrollment ID: I20220901000436 |
| Provider Name | Karla L Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922733401 PECOS PAC ID: 8123404746 Enrollment ID: I20221005003119 |
| Provider Name | Valerie C Facile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689394793 PECOS PAC ID: 0446620819 Enrollment ID: I20221228002937 |
| Provider Name | Ablavi Saboutey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023737806 PECOS PAC ID: 2062869175 Enrollment ID: I20231111000404 |
| Provider Name | Jory Dove |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801525001 PECOS PAC ID: 0749623759 Enrollment ID: I20240207000394 |
| Provider Name | Sonia Bly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245242536 PECOS PAC ID: 2860835436 Enrollment ID: I20240211000066 |
| Provider Name | Kristin Hoppe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053036004 PECOS PAC ID: 9032553722 Enrollment ID: I20240221002548 |
| Provider Name | Amy King |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376172189 PECOS PAC ID: 5092134932 Enrollment ID: I20240301003591 |
| Provider Name | Katrina Nelson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093599722 PECOS PAC ID: 8921445396 Enrollment ID: I20240320003437 |
| Provider Name | Leah M Humbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487406724 PECOS PAC ID: 1153762232 Enrollment ID: I20240508000330 |
| Provider Name | Kaycee Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396045530 PECOS PAC ID: 7618150475 Enrollment ID: I20240510002797 |
Ed Yerka Psychological Consultant, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 238 W Main St Ste 7, Marshall, MN 56258 Phone: 507-401-2026 Fax: 662-601-3968 | |
Avera University Psychiatry Associates-marshall Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1104 E College Dr, Ste. B, Marshall, MN 56258 Phone: 507-337-2923 Fax: 507-337-2926 | |
Prairie Winds Counseling, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 104 W Redwood St, Marshall, MN 56258 Phone: 507-944-1557 Fax: 507-607-8717 | |
The Journey Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 W Lyon St Ste 109, Marshall, MN 56258 Phone: 507-335-2220 Fax: 507-200-6245 | |
Buffalo Ridge Assertive Community Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 E Lyon St, Marshall, MN 56258 Phone: 507-537-7899 Fax: 507-537-7950 | |
Avera Medical Group Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1104 E College Dr, Marshall, MN 56258 Phone: 507-337-2926 | |
Sabrina Ulrich Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 238 W Main St Ste 5, Marshall, MN 56258 Phone: 507-476-0495 Fax: 507-401-3695 |