| Mrs Kimberly Marie Greening, MA, LPCC, ATR | |
|
4510 W 77th St, Edina, MN 55435-5505 | |
| (952) 826-8475 | |
| Not Available |
| Full Name | Mrs Kimberly Marie Greening |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 4510 W 77th St, Edina, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578095964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LH60960454 (Washington) | Primary |
| Entity Name | St Croix Psychiatric Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881849586 PECOS PAC ID: 9335288786 Enrollment ID: O20091125000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kimberly Marie Greening, MA, LPCC, ATR 4510 W 77th St, Edina, MN 55435-5505 Ph: (952) 826-8475 | Mrs Kimberly Marie Greening, MA, LPCC, ATR 4510 W 77th St, Edina, MN 55435-5505 Ph: (952) 826-8475 |
Stephen Wayne Peterson, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 7400 Metro Blvd Ste 220, Edina, MN 55439 Phone: 952-220-7164 | |
Melissa Derby-sessions, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7400 Metro Blvd, Edina, MN 55439 Phone: 612-564-2271 | |
Elizabeth Kaye Dumke, MS, LPCC, ATR Counselor Medicare: Medicare Enrolled Practice Location: 4820 W 77th St Ste 130, Edina, MN 55435 Phone: 651-313-8080 Fax: 651-925-0610 | |
John Rundquist, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7250 Metro Blvd Ste 100, Edina, MN 55439 Phone: 612-374-0506 Fax: 651-323-2051 | |
Jille Neiman, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7602 York Ave S Apt 7115, Edina, MN 55435 Phone: 612-251-8320 | |
Mr. Kyle J Slawson, LPCC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 7301 Ohms Ln Ste 450, Edina, MN 55439 Phone: 952-831-2000 | |
Tember Graves, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3400 W 66th St Ste 400, Edina, MN 55435 Phone: 952-924-5901 |