| Randa Ericson, | |
|
2424 Business 371, Brainerd, MN 56401-8306 | |
| (218) 833-8799 | |
| Not Available |
| Full Name | Randa Ericson |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 7 Years |
| Location | 2424 Business 371, Brainerd, 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 |
|---|---|---|---|
| 1164238697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4731 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minnesota Teen Challenge, Inc | 0840656856 | 22 |
| Entity Name | Minnesota Teen Challenge, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831574797 PECOS PAC ID: 0840656856 Enrollment ID: O20230517002547 |
| Mailing Address | Practice Location Address |
|---|---|
| Randa Ericson, 2424 Business 371, Brainerd, MN 56401-8306 Ph: (218) 833-8799 | Randa Ericson, 2424 Business 371, Brainerd, MN 56401-8306 Ph: (218) 833-8799 |
Kathleen Diane Kongsjord, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 11600 State Ave, Brainerd, MN 56401 Phone: 218-454-8919 |
Ralph Berry, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 Washington St Ste 4, Brainerd, MN 56401 Phone: 612-454-2451 |
Courtney Jo Menten, MS, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 603 Vine St, Brainerd, MN 56401 Phone: 763-363-3036 |
Sean Thomas Higgins, LADC, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11615 State Ave, Brainerd, MN 56401 Phone: 218-855-8767 Fax: 651-431-7437 |
Karie Lynn Svoboda, LPCC Counselor Medicare: May Accept Medicare Assignments Practice Location: 1001 Kingwood St Ste 127, Brainerd, MN 56401 Phone: 218-203-0307 |
Luke William Borkenhagen, MSW, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 823 Maple St, Brainerd, MN 56401 Phone: 218-454-3826 Fax: 218-454-1024 |
Claribel Severson, PHD, NCC, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 401 W Laurel St Ste C, Brainerd, MN 56401 Phone: 218-454-3288 Fax: 218-461-3873 |