| Susan M R Nienaber, LMFT | |
|
516 Mission House Ln, New Brighton, MN 55112-2571 | |
| (651) 636-5120 | |
| Not Available |
| Full Name | Susan M R Nienaber |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 516 Mission House Ln, New Brighton, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639946296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 988 (Minnesota) | Primary |
| Entity Name | North Central Ministry Development Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164711735 PECOS PAC ID: 7214346345 Enrollment ID: O20210503000006 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan M R Nienaber, LMFT 13040 Bluebird St Nw, Coon Rapids, MN 55448-4031 Ph: (763) 913-9505 | Susan M R Nienaber, LMFT 516 Mission House Ln, New Brighton, MN 55112-2571 Ph: (651) 636-5120 |
Kristin Dieruf, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112 Phone: 651-628-9566 | |
Jennifer Perri, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112 Phone: 651-628-9566 | |
Jack Leslie Hinrichs, MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1900 Silver Lake Rd Nw, Suite110, New Brighton, MN 55112 Phone: 651-628-9566 Fax: 651-628-0411 | |
Charles Richmond, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 900 Long Lake Rd, Suite 320 Arden Woods Psychological Services, New Brighton, MN 55112 Phone: 651-482-9361 Fax: 651-482-9888 | |
Kalene Haugen, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112 Phone: 651-628-9566 | |
Mr. Robert Wayne Eddy, MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112 Phone: 651-628-9566 | |
Cassandra Lee Turner, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 900 Long Lake Rd # 215, New Brighton, MN 55112 Phone: 612-458-5667 |