| Mackenzie Esson, LPCC | |
|
625 3rd Ave Nw, Faribault, MN 55021-4219 | |
| (763) 780-3307 | |
| (763) 780-3306 |
| Full Name | Mackenzie Esson |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 4 Years |
| Location | 625 3rd Ave Nw, Faribault, 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 |
|---|---|---|---|
| 1366019937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CC05162 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Innovations Inc | 6204178528 | 96 |
| Lighthouse Psychological Services Inc | 3072948389 | 7 |
| Entity Name | Family Innovations Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992862783 PECOS PAC ID: 6204178528 Enrollment ID: O20190506002814 |
| Entity Name | Lighthouse Psychological Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548428170 PECOS PAC ID: 3072948389 Enrollment ID: O20200115000170 |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Esson, LPCC 1551 Payne Ave, Saint Paul, MN 55130-3218 Ph: (763) 780-3307 | Mackenzie Esson, LPCC 625 3rd Ave Nw, Faribault, MN 55021-4219 Ph: (763) 780-3307 |
Raegan Rose Bissonett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 1st Ave Ne Ste 365, Faribault, MN 55021 Phone: 651-304-0307 |
Jeff Phiefer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Western Ave Nw, Faribault, MN 55021 Phone: 507-209-2030 |
Leonel Zuniga, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1415 Town Square Ln, Faribault, MN 55021 Phone: 507-646-8970 Fax: 833-974-2090 |
Hollis Wunderlich, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Central Ave N, Faribault, MN 55021 Phone: 507-491-4848 Fax: 507-323-8141 |
Emily Elizabeth Rohlik, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1415 Town Square Ln, Faribault, MN 55021 Phone: 507-323-8100 Fax: 833-974-2090 |
Kristine Marie Owen-katona, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 1st Ave Ne Ste 365, Faribault, MN 55021 Phone: 507-225-0257 |
Paige Marie Noel, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 State Ave, Faribault, MN 55021 Phone: 507-334-6451 |