| Deborah Ellen Neitzke, MS, LPCC | |
|
1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 | |
| (320) 251-2700 | |
| (320) 229-5109 |
| Full Name | Deborah Ellen Neitzke |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1406 6th Avenue North, 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 |
|---|---|---|---|
| 1194049023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 00164 (Minnesota) | Primary |
| Entity Name | St Cloud Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134 |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Ellen Neitzke, MS, LPCC 1900 Centracare Cir # 2475, Centra Care Health Plaza, Saint Cloud, MN 56303-5000 Ph: (320) 229-5199 | Deborah Ellen Neitzke, MS, LPCC 1406 6th Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901 Ph: (320) 251-2700 |
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 |
Angela Rose Ackerman, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 3400 1st Street N, Suite 101, St. Cloud, MN 56303 Phone: 612-268-5858 |
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: Medicare Enrolled 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 |
Rachel Flygare, BS LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1406 6th Avenue North, St. Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-656-7009 |