| Christina Johnson, LPCC | |
|
Lakes Country Counseling, 7251 Excelsior Road, Baxter, MN 56425-8477 | |
| (218) 821-4195 | |
| Not Available |
| Full Name | Christina Johnson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | Lakes Country Counseling, Baxter, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598517252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 02469 (Minnesota) | Secondary |
| 101YM0800X | Counselor - Mental Health | CC04401 (Minnesota) | Primary |
| Entity Name | Lakes Country Counseling Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023322351 PECOS PAC ID: 7214257849 Enrollment ID: O20161025000047 |
| Mailing Address | Practice Location Address |
|---|---|
| Christina Johnson, LPCC 22231 Eagle View Dr, Deerwood, MN 56444-6110 Ph: (218) 821-4195 | Christina Johnson, LPCC Lakes Country Counseling, 7251 Excelsior Road, Baxter, MN 56425-8477 Ph: (218) 821-4195 |
Evonne Sirois, MSW, LICSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 13045 Falcon Dr Ste 100, Baxter, MN 56425 Phone: 218-829-9307 | |
Bridget Rae Crabtree, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7251 Excelsior Road, Baxter, MN 56425 Phone: 218-454-0878 Fax: 218-454-0879 | |
Kathryn Moser, MSW, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 13045 Falcon Dr, Suite 100, Baxter, MN 56425 Phone: 218-829-9307 Fax: 218-829-7649 | |
Alissa Sladek, MSW, LICSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 13045 Falcon Dr Ste 100, Baxter, MN 56425 Phone: 218-829-9307 Fax: 218-829-7649 | |
Jenal Brant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13045 Falcon Dr Ste 100, Baxter, MN 56425 Phone: 218-829-9307 Fax: 218-829-7649 | |
Alesha Ketter, M.S., LPCC Counselor Medicare: Medicare Enrolled Practice Location: 13045 Falcon Dr, Suite 100, Baxter, MN 56425 Phone: 218-829-9307 | |
Mrs. Seraphine Aker, MS Counselor Medicare: Medicare Enrolled Practice Location: 13045 Falcon Dr Ste 100, Baxter, MN 56425 Phone: 218-829-9307 Fax: 218-829-7649 |