| Zumbro Valley Health Center | |
|
343 Wood Lake Drive Se Rochester MN 55904 | |
| (507) 289-2089 | |
| (507) 289-2327 |
| Full Name | Zumbro Valley Health Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 343 Wood Lake Drive Se, Rochester, Minnesota |
| Authorized Official Name and Position | Tracy Lynn Lee (CHIEF OPERATING OFF) |
| Authorized Official Contact | 5075355715 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zumbro Valley Health Center 343 Wood Lake Drive Se Rochester MN 55904 Ph: (507) 289-2089 | Zumbro Valley Health Center 343 Wood Lake Drive Se Rochester MN 55904 Ph: (507) 289-2089 |
| NPI Number | 1801961263 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 03/24/2015 |
| Medicare PECOS PAC ID | 7810961703 |
|---|---|
| Medicare Enrollment ID | O20040825001137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801961263 | NPI | - | NPPES |
| 288625100 | Medicaid | MN | |
| 9002ZU | Other | MN | BCBS - CD TREATMENT |
| 9823ZU | Other | MN | BCBS - DETOX |
| 275055400 | Medicaid | MN | |
| 275055401 | Medicaid | MN | |
| 300645100 | Medicaid | MN | |
| 39853ZU | Other | MN | BCBS - MH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 802789-1-MHC (Minnesota) | Primary |
| Provider Name | Joseph R Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922119502 PECOS PAC ID: 7719905843 Enrollment ID: I20051108000321 |
| Provider Name | Heather J Geerts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215121868 PECOS PAC ID: 1557456290 Enrollment ID: I20070926000952 |
| Provider Name | Thomas L Diana |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093874281 PECOS PAC ID: 0648365643 Enrollment ID: I20071005000483 |
| Provider Name | Kavita Prasad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275655573 PECOS PAC ID: 6800954918 Enrollment ID: I20081017000706 |
| Provider Name | James P Rechs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437271186 PECOS PAC ID: 7416005806 Enrollment ID: I20090422000624 |
| Provider Name | Amy G Pyron-hugo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811050560 PECOS PAC ID: 6406993492 Enrollment ID: I20091023000328 |
| Provider Name | Julie A Kidder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336455872 PECOS PAC ID: 3577750199 Enrollment ID: I20101208001188 |
| Provider Name | Alan E Rodgers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336439447 PECOS PAC ID: 9032396114 Enrollment ID: I20110527000481 |
| Provider Name | Jennifer D Neumann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598024655 PECOS PAC ID: 9739330168 Enrollment ID: I20121113000395 |
| Provider Name | Elizabeth B Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104254044 PECOS PAC ID: 8527295625 Enrollment ID: I20131217001350 |
| Provider Name | Sean M Haggerty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417353236 PECOS PAC ID: 5092037655 Enrollment ID: I20141210000295 |
| Provider Name | Christopher G Hanley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265655948 PECOS PAC ID: 1557485521 Enrollment ID: I20150908001947 |
| Provider Name | Andrea Marie Brekke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528417490 PECOS PAC ID: 5092008953 Enrollment ID: I20160729001167 |
| Provider Name | Janice G Jett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629522099 PECOS PAC ID: 0446546477 Enrollment ID: I20160831000488 |
| Provider Name | Katherine L Driskell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790064970 PECOS PAC ID: 5597048520 Enrollment ID: I20170216001851 |
| Provider Name | Rachel J Beukema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396268348 PECOS PAC ID: 3072885532 Enrollment ID: I20170817001753 |
| Provider Name | Sheri L Pearson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447533740 PECOS PAC ID: 4688949811 Enrollment ID: I20171013001402 |
| Provider Name | Jessie L Meyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548773351 PECOS PAC ID: 2860751237 Enrollment ID: I20180109003421 |
| Provider Name | Matthew J Mckay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073765111 PECOS PAC ID: 3476814401 Enrollment ID: I20180307002108 |
| Provider Name | Kaylee Ann Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356841605 PECOS PAC ID: 0042572166 Enrollment ID: I20180329000308 |
| Provider Name | Rebecca Lynn Potter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700340221 PECOS PAC ID: 0042543183 Enrollment ID: I20190605001093 |
| Provider Name | Monica Y Way |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013410760 PECOS PAC ID: 4284061987 Enrollment ID: I20200218002593 |
| Provider Name | Brittany Vega |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427561968 PECOS PAC ID: 6204252117 Enrollment ID: I20200821001143 |
| Provider Name | Kelli L Tischer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912580085 PECOS PAC ID: 0345642575 Enrollment ID: I20210712001270 |
| Provider Name | Erin Bartholmey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871269456 PECOS PAC ID: 9335546597 Enrollment ID: I20210930002264 |
| Provider Name | Marshall M Ricks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225794639 PECOS PAC ID: 6901297365 Enrollment ID: I20211220002579 |
| Provider Name | Roxanne M Paulson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194473678 PECOS PAC ID: 1254714959 Enrollment ID: I20220812001643 |
| Provider Name | Hannah E Frost |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790407658 PECOS PAC ID: 6204207822 Enrollment ID: I20230118002494 |
| Provider Name | Holley J Mathieu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669411526 PECOS PAC ID: 9537532908 Enrollment ID: I20230306001460 |
| Provider Name | Jacob A Zimmerman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811693351 PECOS PAC ID: 8022482108 Enrollment ID: I20230314000858 |
| Provider Name | Sean M Haggerty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699465914 PECOS PAC ID: 5193183440 Enrollment ID: I20230620001591 |
| Provider Name | Krista L Ripley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447951900 PECOS PAC ID: 7719348499 Enrollment ID: I20230727001320 |
| Provider Name | Shane A Hedrington |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1326722513 PECOS PAC ID: 2466814561 Enrollment ID: I20230821002783 |
| Provider Name | Kylee R Goettsch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427730266 PECOS PAC ID: 1456705920 Enrollment ID: I20231003000109 |
| Provider Name | Patricia S Hruby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023898418 PECOS PAC ID: 9234580721 Enrollment ID: I20240109003261 |
| Provider Name | Alyssa J Sumner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508319534 PECOS PAC ID: 5092110585 Enrollment ID: I20240124002965 |
| Provider Name | Marion M Turnquist |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285106146 PECOS PAC ID: 3779965132 Enrollment ID: I20240205002278 |
| Provider Name | Marie Grace |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568876381 PECOS PAC ID: 7618311903 Enrollment ID: I20240214002440 |
| Provider Name | Patricia L Carlstrom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154194181 PECOS PAC ID: 6800244724 Enrollment ID: I20240215003446 |
| Provider Name | Laurel A Light |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043455819 PECOS PAC ID: 6608225792 Enrollment ID: I20240227000221 |
| Provider Name | Lisa Marie Shoberg Weiner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174991335 PECOS PAC ID: 4981018991 Enrollment ID: I20240229003208 |
| Provider Name | Joshua R Kaus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912636838 PECOS PAC ID: 0345622940 Enrollment ID: I20240229003603 |
| Provider Name | Ashley M Mckittrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003683889 PECOS PAC ID: 1153767454 Enrollment ID: I20240308002376 |
| Provider Name | Corey R Kanz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760977763 PECOS PAC ID: 7315384567 Enrollment ID: I20240322002789 |
| Provider Name | Javier Ocariz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083308308 PECOS PAC ID: 3779944152 Enrollment ID: I20240403000242 |
| Provider Name | Elizabeth F Tart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104680768 PECOS PAC ID: 2163861824 Enrollment ID: I20240415003191 |
| Provider Name | Jennifer C Johnston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578249835 PECOS PAC ID: 0446692727 Enrollment ID: I20240531003191 |
Onward Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 First Avenue Nw, Suite 210, Rochester, MN 55901 Phone: 507-273-2034 Fax: 507-424-1052 | |
Christian Family Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3040 Stonehedge Dr Ne, Rochester, MN 55906 Phone: 800-438-1772 Fax: 262-345-5562 | |
Bluestem Center For Child And Family Development, P.a. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 124 Elton Hills Ln Nw, Rochester, MN 55901 Phone: 507-282-1009 | |
Mariposa Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 Elton Hills Dr, Rochester, MN 55901 Phone: 507-424-4016 Fax: 507-424-4017 | |
Ken Wadum, Ed.d. Lp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1530 Greenview Dr Sw, Suite 207, Rochester, MN 55902 Phone: 507-280-0225 | |
Amar Wellness Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6556 Clarkia Dr Nw, Rochester, MN 55901 Phone: 507-289-0385 | |
New Leaf Therapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 1/2 7th St Nw Ste 208, Rochester, MN 55901 Phone: 507-200-0224 |