| Angela Rose Ackerman, LPCC | |
|
3400 1st Street N, Suite 101, St. Cloud, MN 56303 | |
| (612) 268-5858 | |
| Not Available |
| Full Name | Angela Rose Ackerman |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 3400 1st Street N, Suite 101, St. Cloud, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235644386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | CC0166 (Minnesota) | Primary |
| Entity Name | Affinity Psychological Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245610856 PECOS PAC ID: 0749528552 Enrollment ID: O20190220001363 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Rose Ackerman, LPCC 1001 Kingwood St Ste 127, Brainerd, MN 56401-3452 Ph: (218) 203-0307 | Angela Rose Ackerman, LPCC 3400 1st Street N, Suite 101, St. Cloud, MN 56303 Ph: (612) 268-5858 |
Deborah Ellen Neitzke, MS, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-229-5109 | |
Terry Thomas Farber, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1406 6th Avenue North, St. Cloud Hospital- Recovery Plus, St. Cloud, MN 56303 Phone: 320-251-2700 | |
Miss Diane Patricia Hiles, MA, PSYD. Counselor Medicare: Not Enrolled in Medicare Practice Location: 911 18th St. N., St. Cloud, MN 56302 Phone: 320-650-1660 Fax: 320-650-1672 | |
Ms. Janice Mary Wilde, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 529 16th Ave N, St. Cloud, MN 56303 Phone: 320-656-1550 | |
Sandra Lee Andreasen, MS, LMFT, LPC, LSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-656-7115 | |
Luis E. Campero, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr., Building 9 Rm 105, St. Cloud, MN 56303 Phone: 320-333-0222 |