| Katie Jo Shadrick, MA, LPCC | |
|
1310 S German St, New Ulm, MN 56073-3478 | |
| (507) 354-2174 | |
| Not Available |
| Full Name | Katie Jo Shadrick |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 13 Years |
| Location | 1310 S German St, New Ulm, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275015786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CC01886 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Secure Base Counseling Center Llc | 8628409299 | 22 |
| Entity Name | Secure Base Counseling Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285905885 PECOS PAC ID: 8628409299 Enrollment ID: O20200514001997 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Jo Shadrick, MA, LPCC 1310 S German St, New Ulm, MN 56073-3478 Ph: () - | Katie Jo Shadrick, MA, LPCC 1310 S German St, New Ulm, MN 56073-3478 Ph: (507) 354-2174 |
Lindsay Boettger, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 924 Cottonwood St, New Ulm, MN 56073 Phone: 612-816-5081 | |
Mrs. Jamie Lee Rieser, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 1/2 N Minnesota St, New Ulm, MN 56073 Phone: 507-354-0248 Fax: 507-354-0251 | |
Katie Christina Christianson, LPCC Counselor Medicare: May Accept Medicare Assignments Practice Location: 1226 S Broadway St, New Ulm, MN 56073 Phone: 507-359-2080 | |
Wade Lang, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1215 S. Braodway, New Ulm, MN 56085 Phone: 507-201-4505 Fax: 651-323-2053 | |
Dale Hartman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1014 10th North St N, New Ulm, MN 56073 Phone: 952-452-3306 | |
Mr. Duane Darry Winter, LPCC, LADC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 1114 N Garden St, New Ulm, MN 56073 Phone: 507-276-8630 |