| Woodland Centers | |
|
1125 6th St Se Willmar MN 56201-0787 | |
| (320) 235-4613 | |
| (320) 231-9140 |
| Full Name | Woodland Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 1125 6th St Se, Willmar, Minnesota |
| Authorized Official Name and Position | Ashley Kjos (CEO) |
| Authorized Official Contact | 3202354613 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodland Centers 1125 6th St Se Willmar MN 56201-0787 Ph: (320) 235-4613 | Woodland Centers 1125 6th St Se Willmar MN 56201-0787 Ph: (320) 235-4613 |
| NPI Number | 1295818862 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7416860457 |
|---|---|
| Medicare Enrollment ID | O20031106000600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295818862 | NPI | - | NPPES |
| 854855200 | Medicaid | MN | |
| 45812WE | Other | MN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 802665 (Minnesota) | Primary |
| Provider Name | Nancy L Pesta Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093982837 PECOS PAC ID: 8921166216 Enrollment ID: I20081014000765 |
| Provider Name | Heidi L Winter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043464134 PECOS PAC ID: 0446316186 Enrollment ID: I20090305000174 |
| Provider Name | Mary Ann Schorn-rhoda |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1417010257 PECOS PAC ID: 0941303002 Enrollment ID: I20090617000266 |
| Provider Name | Ashley A Kjos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588984074 PECOS PAC ID: 9537311899 Enrollment ID: I20121212000526 |
| Provider Name | Lorraine M Kendall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396174496 PECOS PAC ID: 6709013113 Enrollment ID: I20131210001537 |
| Provider Name | Kristle A Chase |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770900508 PECOS PAC ID: 2062645260 Enrollment ID: I20140423001326 |
| Provider Name | Pamela J Jacobson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255683066 PECOS PAC ID: 7113246257 Enrollment ID: I20150512000967 |
| Provider Name | Heidi Josephine Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861777955 PECOS PAC ID: 4486973575 Enrollment ID: I20150512002831 |
| Provider Name | Laura L Tersteeg-beier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669793733 PECOS PAC ID: 9830407519 Enrollment ID: I20150929002929 |
| Provider Name | Chad Randal Vickers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780753681 PECOS PAC ID: 2567555311 Enrollment ID: I20190220000002 |
| Provider Name | Karen A Urban |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770048100 PECOS PAC ID: 3476893843 Enrollment ID: I20190321000610 |
| Provider Name | Karley L Duenwald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285107607 PECOS PAC ID: 0840531109 Enrollment ID: I20190415000847 |
| Provider Name | Julie A Patten |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063054476 PECOS PAC ID: 0749612455 Enrollment ID: I20191119001518 |
| Provider Name | Veronica L Harsh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255371894 PECOS PAC ID: 8820076250 Enrollment ID: I20200306000838 |
| Provider Name | Mackenzie Lee Westermeyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972118008 PECOS PAC ID: 7113338245 Enrollment ID: I20201123000140 |
| Provider Name | Christina Rose Small |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285388017 PECOS PAC ID: 4385030378 Enrollment ID: I20220330002332 |
| Provider Name | Katelyn Marie Christenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992453815 PECOS PAC ID: 0648666263 Enrollment ID: I20220407002610 |
| Provider Name | Kelli Jo Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992449151 PECOS PAC ID: 0143607622 Enrollment ID: I20220523001746 |
| Provider Name | Emily Abbigail Molenaar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093455123 PECOS PAC ID: 3375920796 Enrollment ID: I20220524001067 |
| Provider Name | Casey Kathleen Hubbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821633538 PECOS PAC ID: 2163809591 Enrollment ID: I20220524001658 |
| Provider Name | Kristin Ashlie Staten Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073078705 PECOS PAC ID: 9234543372 Enrollment ID: I20220810000446 |
| Provider Name | Seth Alan Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225759285 PECOS PAC ID: 0941685127 Enrollment ID: I20220924000180 |
| Provider Name | James Douglas Pohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831815745 PECOS PAC ID: 2668840059 Enrollment ID: I20221115003473 |
| Provider Name | Vanessa Montez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124251558 PECOS PAC ID: 8527360171 Enrollment ID: I20221122002251 |
| Provider Name | Jacqueline K Zaske |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760785224 PECOS PAC ID: 0446622518 Enrollment ID: I20230218000556 |
| Provider Name | Heidi Eggers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386973428 PECOS PAC ID: 2860867421 Enrollment ID: I20230412002599 |
| Provider Name | Michal Katz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992219307 PECOS PAC ID: 1658747738 Enrollment ID: I20231005000138 |
| Provider Name | Melissa Lee Weber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609233071 PECOS PAC ID: 2668822420 Enrollment ID: I20231220002369 |
| Provider Name | Brianne Wolters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639831837 PECOS PAC ID: 2466791504 Enrollment ID: I20231220003314 |
| Provider Name | Tiffany Marie Jensen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316543515 PECOS PAC ID: 0244680882 Enrollment ID: I20231222001854 |
| Provider Name | Stacey Elizabeth Roberts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871272260 PECOS PAC ID: 4880044437 Enrollment ID: I20231222002248 |
| Provider Name | Rachel Bollerud |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912369422 PECOS PAC ID: 4789034265 Enrollment ID: I20231226000094 |
| Provider Name | Lyndsie Jo Voorhees |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700554086 PECOS PAC ID: 6204286727 Enrollment ID: I20231226001474 |
| Provider Name | Cassandra Rice |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730564238 PECOS PAC ID: 4688024060 Enrollment ID: I20231227002332 |
| Provider Name | Alexandra Kuestersteffen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932682887 PECOS PAC ID: 6103276399 Enrollment ID: I20240101000002 |
| Provider Name | Kathleen Joleen Herzog |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558867614 PECOS PAC ID: 7911357108 Enrollment ID: I20240101000004 |
| Provider Name | Catherine Loucile Moudry |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1023311826 PECOS PAC ID: 5496106312 Enrollment ID: I20240104003565 |
| Provider Name | Collin John Bohlke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487022315 PECOS PAC ID: 9638521776 Enrollment ID: I20240115000301 |
| Provider Name | Nancy Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760808521 PECOS PAC ID: 6103279765 Enrollment ID: I20240130003176 |
| Provider Name | Lindsey Greenlun |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093161044 PECOS PAC ID: 3476997735 Enrollment ID: I20240215000618 |
| Provider Name | Andrew Robert Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750440715 PECOS PAC ID: 5698217388 Enrollment ID: I20240610002507 |
Carroll Psychological Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 4th St Sw, Willmar, MN 56201 Phone: 320-214-7733 | |
Woodland Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1125 6th St Se, Willmar, MN 56201 Phone: 320-235-4613 Fax: 320-231-9140 | |
Carris Health Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 301 Becker Ave Sw, Willmar, MN 56201 Phone: 320-235-4543 Fax: 320-231-4971 | |
Nolan's Place Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 19th Ave Sw, Willmar, MN 56201 Phone: 320-403-5247 Fax: 320-403-5249 | |
Glacier Lakes Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2313 6th Ave Se, Willmar, MN 56201 Phone: 612-963-5889 | |
Community Outreach Counseling Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1617 Highway 12 E, Suite 230, Willmar, MN 56201 Phone: 320-905-0795 Fax: 320-205-0030 | |
Grateful Heart Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 115 Litchfield Ave Se Ste 202, Willmar, MN 56201 Phone: 320-522-1411 |