| Roberta Ridyn Kelley, LMFT | |
|
3007 Harbor Ln N Ste 1600, Plymouth, MN 55447-5142 | |
| (612) 915-0049 | |
| Not Available |
| Full Name | Roberta Ridyn Kelley |
|---|---|
| Gender | Female |
| Speciality | Marriage And Family Therapist |
| Experience | 6 Years |
| Location | 3007 Harbor Ln N Ste 1600, Plymouth, 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 |
|---|---|---|---|
| 1538831987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 305002 (Minnesota) | Secondary |
| 106H00000X | Marriage & Family Therapist | 4461 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Innovations Inc | 6204178528 | 96 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Roberta Ridyn Kelley, LMFT 4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630 Ph: (612) 915-0049 | Roberta Ridyn Kelley, LMFT 3007 Harbor Ln N Ste 1600, Plymouth, MN 55447-5142 Ph: (612) 915-0049 |
Benjamin Monseth, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12805 Highway 55 Ste 211, Plymouth, MN 55441 Phone: 763-550-9005 Fax: 763-559-2118 |
Kaylie Broberg, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9800 Shelard Pkwy Ste 115, Plymouth, MN 55441 Phone: 651-447-7507 Fax: 763-432-6001 |
Ms. Andrea Undlin, LMFT Couples Therapy Medicare: May Accept Medicare Assignments Practice Location: 10000 Hwy 55 Ste 200, Plymouth, MN 55441 Phone: 763-309-8413 |
Lisa Anne Schwartz, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9800 Shelard Pkwy Ste 115, Plymouth, MN 55441 Phone: 763-200-8900 |
Rita Martin, LMFT-A, CCRC Couples Therapy Medicare: Medicare Enrolled Practice Location: 18205 45th Ave N Ste D, Plymouth, MN 55446 Phone: 214-554-4089 |
Andrew Carson, MA Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 4100 Berkshire Ln N Ste 250, Plymouth, MN 55446 Phone: 612-223-8898 Fax: 833-972-0904 |
Benjamin Musburger, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12805 Highway 55 Suite 206, Plymouth, MN 55441 Phone: 602-518-9921 |