| Jessica Kay Kisling, LPCC | |
|
12601 Ridgedale Dr, Social Service Center, Level 2, Minnetonka, MN 55305-1911 | |
| (612) 348-7379 | |
| Not Available |
| Full Name | Jessica Kay Kisling |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 12601 Ridgedale Dr, Minnetonka, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073800637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CC00337 (Minnesota) | Primary |
| Entity Name | Canvas Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922051325 PECOS PAC ID: 8729073978 Enrollment ID: O20040416001178 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Kay Kisling, LPCC 5412 Bernard Ave N, Crystal, MN 55429-3625 Ph: (612) 701-0963 | Jessica Kay Kisling, LPCC 12601 Ridgedale Dr, Social Service Center, Level 2, Minnetonka, MN 55305-1911 Ph: (612) 348-7379 |
James Patrick Mcenroe, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11900 Wayzata Blvd Ste 100, Minnetonka, MN 55305 Phone: 612-454-2412 Fax: 952-546-1683 | |
Alexander Fellerman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5125 County Road 101 Ste 300, Minnetonka, MN 55345 Phone: 952-932-7277 Fax: 952-932-9827 | |
Kimberly Mae Ostman, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10505 Wayzata Blvd Ste 203-5, Minnetonka, MN 55305 Phone: 612-460-7252 Fax: 866-318-3073 | |
Jamie L.k. Rohwer, L.P.C.C. Counselor Medicare: Medicare Enrolled Practice Location: 5125 County Road 101, Suite 300, Minnetonka, MN 55345 Phone: 952-932-7277 Fax: 952-932-9827 | |
Jordan Nielsen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 Carlson Pkwy Apt 105, Minnetonka, MN 55305 Phone: 763-744-7359 | |
Meghan Elizabeth Hof, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3395 Plymouth Rd, Minnetonka, MN 55305 Phone: 952-939-0396 | |
Charell Dutton, Counselor Medicare: Medicare Enrolled Practice Location: 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305 Phone: 952-206-2040 |