| Jacob Thomas Minnig, MA, LPCC, LADC | |
|
1471 Highview Ave, Eagan, MN 55121-1143 | |
| (651) 233-8379 | |
| Not Available |
| Full Name | Jacob Thomas Minnig |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1471 Highview Ave, Eagan, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114660966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 04325 (Minnesota) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 305842 (Minnesota) | Secondary |
| Entity Name | Twin Cities Recovery Gym & Wellness Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487227161 PECOS PAC ID: 3476999327 Enrollment ID: O20240313003168 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Thomas Minnig, MA, LPCC, LADC 1471 Highview Ave, Eagan, MN 55121-1143 Ph: () - | Jacob Thomas Minnig, MA, LPCC, LADC 1471 Highview Ave, Eagan, MN 55121-1143 Ph: (651) 233-8379 |
Nicholas Plante, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2142 River Valley Ln, Eagan, MN 55122 Phone: 612-501-7897 | |
Matthew Steven Carlson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-644-8515 | |
Patricia Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492 | |
Mrs. Katherine Anne Blesener, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4660 Slater Rd Ste 145, Eagan, MN 55122 Phone: 651-440-9159 Fax: 651-371-3139 | |
Katherine Ann Mcguire, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492 | |
Taylor Paige Voeller, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2030 Rahn Way, Eagan, MN 55122 Phone: 651-529-1970 | |
Keo Sengsavang, Counselor Medicare: Medicare Enrolled Practice Location: 4361 Bear Path Trl, Eagan, MN 55122 Phone: 612-234-2397 |