| Mary Jo Phillips, LPC | |
|
507 22nd Ave E, Alexandria, MN 56308-5185 | |
| (320) 762-5124 | |
| (320) 762-2422 |
| Full Name | Mary Jo Phillips |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 29 Years |
| Location | 507 22nd Ave E, Alexandria, 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 |
|---|---|---|---|
| 1356551519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 00134 (Minnesota) | Secondary |
| 101YM0800X | Counselor - Mental Health | 00134 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lutheran Social Service Of Minnesota | 1951202019 | 12 |
| Entity Name | Lutheran Social Service Of Minnesota |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629192430 PECOS PAC ID: 1951202019 Enrollment ID: O20040205000477 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Jo Phillips, LPC 507 22nd Ave E, Suite 1, Alexandria, MN 56308-5185 Ph: (320) 762-5124 | Mary Jo Phillips, LPC 507 22nd Ave E, Alexandria, MN 56308-5185 Ph: (320) 762-5124 |
Ms. Brooke Marie Boweter, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 30th Ave W, Alexandria, MN 56308 Phone: 320-460-8028 Fax: 320-460-8029 | |
Beth Ann Rogers, ADC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 1700 Broadway St Ste 2, Alexandria, MN 56308 Phone: 320-763-0124 | |
Ms. Jane F Wilka-pauly, LADC, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 720 34th Ave East, Alexandria, MN 56308 Phone: 320-762-2400 | |
Cheryl Ann Lewis, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 222 9th Ave W, Alexandria, MN 56308 Phone: 320-491-8036 | |
Kimberly Wilkins, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 222 9th Ave W, Alexandria, MN 56308 Phone: 320-763-3912 | |
Sheryl Anderson, Counselor Medicare: Accepting Medicare Assignments Practice Location: 512 30th Ave E Ste 100, Alexandria, MN 56308 Phone: 320-762-5411 Fax: 218-287-5928 | |
James Monson, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 222 9th Ave W, Alexandria, MN 56308 Phone: 320-763-3912 Fax: 320-763-6629 |