| Kendra Porter, MA | |
|
1200 S Pokegama Ave Ste 160, Grand Rapids, MN 55744-4296 | |
| (218) 999-0051 | |
| (218) 999-7020 |
| Full Name | Kendra Porter |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 6 Years |
| Location | 1200 S Pokegama Ave Ste 160, Grand Rapids, 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 |
|---|---|---|---|
| 1598494635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 02638 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nystrom And Associates Ltd | 6406752492 | 590 |
| Entity Name | Nystrom & Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendra Porter, MA 1200 S Pokegama Ave Ste 160, Grand Rapids, MN 55744-4296 Ph: (218) 999-0051 | Kendra Porter, MA 1200 S Pokegama Ave Ste 160, Grand Rapids, MN 55744-4296 Ph: (218) 999-0051 |
Kayla Marie Hanna, MS, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 104 Ne 3rd St # 200h, Grand Rapids, MN 55744 Phone: 218-999-7081 |
Alyson Lopez, MA, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 215 Se 2nd Ave, Grand Rapids, MN 55744 Phone: 218-326-1274 Fax: 218-326-9787 |
Haylee Garsow, LADC, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1215 Se 7th Ave, Grand Rapids, MN 55744 Phone: 218-313-1328 |
Colleen Mackay, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1215 Se 7th Ave, Grand Rapids, MN 55744 Phone: 218-313-1315 |
Nicholas Thompson, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 Nw 1st Ave, Grand Rapids, MN 55744 Phone: 218-301-7581 |
Bruce Haag, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1215 Se 7th Ave, Grand Rapids, MN 55744 Phone: 218-327-1105 |
Kelsey Unger, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 35382 Us Highway 2, Grand Rapids, MN 55744 Phone: 218-327-4886 Fax: 218-327-4848 |