| Affinity Psychological Services, P.C. | |
|
7401 Metro Blvd Ste 250 Edina MN 55439-3062 | |
| (612) 268-5858 | |
| (612) 268-5868 |
| Full Name | Affinity Psychological Services, P.C. |
|---|---|
| Speciality | Counselor |
| Location | 7401 Metro Blvd Ste 250, Edina, Minnesota |
| Authorized Official Name and Position | Meridee Rilen (PSYCHOLOGIST, PRESIDENT) |
| Authorized Official Contact | 6125645865 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinity Psychological Services, P.C. 7401 Metro Blvd Ste 250 Edina MN 55439-3062 Ph: (612) 268-5858 | Affinity Psychological Services, P.C. 7401 Metro Blvd Ste 250 Edina MN 55439-3062 Ph: (612) 268-5858 |
| NPI Number | 1245610856 |
|---|---|
| Provider Enumeration Date | 06/09/2015 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/07/2024 |
| Medicare PECOS PAC ID | 0749528552 |
|---|---|
| Medicare Enrollment ID | O20190220001363 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245610856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
| Provider Name | Deborah D White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932325495 PECOS PAC ID: 0244219699 Enrollment ID: I20040719000568 |
| Provider Name | Kelly LS Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790847135 PECOS PAC ID: 7517062201 Enrollment ID: I20070425000472 |
| Provider Name | Amy S Hilburger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023389186 PECOS PAC ID: 2769643006 Enrollment ID: I20120413000492 |
| Provider Name | Charlotte Szabo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346529922 PECOS PAC ID: 0446401376 Enrollment ID: I20121127000106 |
| Provider Name | Amy N Tornio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881117869 PECOS PAC ID: 8224300140 Enrollment ID: I20170828000241 |
| Provider Name | David Henry Frovarp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942744545 PECOS PAC ID: 3173889409 Enrollment ID: I20171102000795 |
| Provider Name | Sarah E Tague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861909012 PECOS PAC ID: 9830453679 Enrollment ID: I20180503000873 |
| Provider Name | Meridee Rilen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790841773 PECOS PAC ID: 5294073003 Enrollment ID: I20190220001674 |
| Provider Name | Nikita Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346704830 PECOS PAC ID: 1850633553 Enrollment ID: I20190429002800 |
| Provider Name | Cori C Boehm-peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376856518 PECOS PAC ID: 4981937760 Enrollment ID: I20190611000016 |
| Provider Name | Hillary J Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992348908 PECOS PAC ID: 3678906013 Enrollment ID: I20191126000068 |
| Provider Name | George Dupuy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457857989 PECOS PAC ID: 1456600881 Enrollment ID: I20191231002162 |
| Provider Name | Dana Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972622694 PECOS PAC ID: 6305064098 Enrollment ID: I20200410001000 |
| Provider Name | Scott M Grandt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942807771 PECOS PAC ID: 4981015443 Enrollment ID: I20201204001961 |
| Provider Name | Kelly Sternhagen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063863991 PECOS PAC ID: 4688088909 Enrollment ID: I20210128000664 |
| Provider Name | Danielle Kalin Norgren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053996306 PECOS PAC ID: 7416366646 Enrollment ID: I20210429001194 |
| Provider Name | Natalie Taber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053947077 PECOS PAC ID: 3375934011 Enrollment ID: I20220106001849 |
| Provider Name | Kiley Rae Pronschinske |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811658727 PECOS PAC ID: 9739572363 Enrollment ID: I20220203001030 |
| Provider Name | Emily M Valentine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306598214 PECOS PAC ID: 7517351471 Enrollment ID: I20220218002257 |
| Provider Name | Ann Duevel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821741406 PECOS PAC ID: 5294120580 Enrollment ID: I20220323002843 |
| Provider Name | Melissa Goroni Larson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184219974 PECOS PAC ID: 7810374170 Enrollment ID: I20220507000109 |
| Provider Name | Marybeth K Ehlert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851924245 PECOS PAC ID: 0749660348 Enrollment ID: I20220629000168 |
| Provider Name | Brianna Marie Pezon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366909285 PECOS PAC ID: 0547646119 Enrollment ID: I20221005000906 |
| Provider Name | Wyatt Josef Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194488080 PECOS PAC ID: 4385012368 Enrollment ID: I20221122003215 |
| Provider Name | Eleanor Rizor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992399653 PECOS PAC ID: 6608246608 Enrollment ID: I20230109002383 |
| Provider Name | Tito Oca Catuncan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972252617 PECOS PAC ID: 6002274032 Enrollment ID: I20230622002442 |
| Provider Name | Ashley a Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730662792 PECOS PAC ID: 7012376635 Enrollment ID: I20230629002630 |
| Provider Name | Emma Mae Buckingham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144910621 PECOS PAC ID: 0244699668 Enrollment ID: I20230703002456 |
| Provider Name | Star Ora Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487195327 PECOS PAC ID: 6204283054 Enrollment ID: I20231115003290 |
| Provider Name | Erin Beecher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689196230 PECOS PAC ID: 0143678813 Enrollment ID: I20231120001157 |
| Provider Name | Hilary Julianna Breedon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215602883 PECOS PAC ID: 5698151561 Enrollment ID: I20231204003414 |
| Provider Name | Matthew Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831733740 PECOS PAC ID: 8123478880 Enrollment ID: I20231221002441 |
| Provider Name | Hannah Williams |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932572856 PECOS PAC ID: 5193175792 Enrollment ID: I20231222000290 |
| Provider Name | Andrea Undlin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073066197 PECOS PAC ID: 6103276746 Enrollment ID: I20231222002057 |
| Provider Name | Kelly Jean-mcniff Kivel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134565278 PECOS PAC ID: 8325498876 Enrollment ID: I20231222002746 |
| Provider Name | Christin L Seirup |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912226820 PECOS PAC ID: 3779933221 Enrollment ID: I20231222002832 |
| Provider Name | Abigail Heisserer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477149755 PECOS PAC ID: 8325498819 Enrollment ID: I20231226000539 |
| Provider Name | Rebecca Sawyer-smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083085468 PECOS PAC ID: 5799135026 Enrollment ID: I20231228000888 |
| Provider Name | Olivia Taylor Morris Newstrom |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427551357 PECOS PAC ID: 3476903501 Enrollment ID: I20240102001359 |
| Provider Name | Devan Kristine Rubio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013632363 PECOS PAC ID: 8820449812 Enrollment ID: I20240103003532 |
| Provider Name | Jackie Elvehjem |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154019503 PECOS PAC ID: 9537510425 Enrollment ID: I20240104002208 |
| Provider Name | Sherry L. Fridlund |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891912267 PECOS PAC ID: 4385095215 Enrollment ID: I20240104003684 |
| Provider Name | Jennifer Hartsell Hahn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558809111 PECOS PAC ID: 7214388800 Enrollment ID: I20240108005641 |
| Provider Name | Elizabeth Kathleen Ritter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609406628 PECOS PAC ID: 6204287808 Enrollment ID: I20240108005746 |
| Provider Name | Vladimir Aleksandrovich Gordeyev |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609324128 PECOS PAC ID: 9335590835 Enrollment ID: I20240109003652 |
| Provider Name | Steven Ringsmuth Stolpman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083256267 PECOS PAC ID: 4880045384 Enrollment ID: I20240109003707 |
| Provider Name | Charmagne Wilder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942855077 PECOS PAC ID: 7113378621 Enrollment ID: I20240109003957 |
| Provider Name | Kelsey Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164957858 PECOS PAC ID: 0042661472 Enrollment ID: I20240110000169 |
| Provider Name | Sarah Engeswick Borger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316558844 PECOS PAC ID: 9931550365 Enrollment ID: I20240110000230 |
| Provider Name | Anna Christine Trout |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639838915 PECOS PAC ID: 5698126019 Enrollment ID: I20240110003415 |
| Provider Name | Sara Eby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598082307 PECOS PAC ID: 4981055258 Enrollment ID: I20240111000415 |
| Provider Name | Pauline April Svare |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1316309727 PECOS PAC ID: 0941651244 Enrollment ID: I20240111001474 |
| Provider Name | Pamela Beckering |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437580669 PECOS PAC ID: 0840641908 Enrollment ID: I20240112002731 |
| Provider Name | Heather M Cassidy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285131359 PECOS PAC ID: 2668824707 Enrollment ID: I20240115000238 |
| Provider Name | Madeleine P Coulter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639767692 PECOS PAC ID: 2769834233 Enrollment ID: I20240119003125 |
| Provider Name | Marcia Michele Seebachan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508472374 PECOS PAC ID: 9234559907 Enrollment ID: I20240122001270 |
| Provider Name | Sarah Gokey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1295323798 PECOS PAC ID: 9032561410 Enrollment ID: I20240122002342 |
| Provider Name | Micah H Sheldon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558937276 PECOS PAC ID: 2860845807 Enrollment ID: I20240126000185 |
| Provider Name | Sierra Nichols |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992390785 PECOS PAC ID: 5799138525 Enrollment ID: I20240129002515 |
| Provider Name | Jeffrey Eric John Brunsgaard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356847701 PECOS PAC ID: 9739532300 Enrollment ID: I20240130003550 |
| Provider Name | Abby Florence Wulfing |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790140002 PECOS PAC ID: 1759734288 Enrollment ID: I20240131002214 |
| Provider Name | Kathryn T Reinholdt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790311801 PECOS PAC ID: 3971955980 Enrollment ID: I20240131002430 |
| Provider Name | Rebecca Jane Ellmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073160776 PECOS PAC ID: 0143664755 Enrollment ID: I20240221003664 |
| Provider Name | Ann Marie Freeman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1023314184 PECOS PAC ID: 0547604084 Enrollment ID: I20240222003903 |
| Provider Name | Maura Mcdonald |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114432945 PECOS PAC ID: 7214372564 Enrollment ID: I20240227002001 |
| Provider Name | Denise Lynn Wing |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336208503 PECOS PAC ID: 5698111854 Enrollment ID: I20240311000168 |
| Provider Name | Kelsey Rosamond Malmstedt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740925932 PECOS PAC ID: 8426494659 Enrollment ID: I20240311002545 |
| Provider Name | Alyssa Rose Kittleson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417671363 PECOS PAC ID: 2062859572 Enrollment ID: I20240320000700 |
| Provider Name | Christina Anne Preston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396436465 PECOS PAC ID: 9032556584 Enrollment ID: I20240320002145 |
| Provider Name | Paula E Noonan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770345316 PECOS PAC ID: 2567809551 Enrollment ID: I20240326003435 |
| Provider Name | Kristy S Hommerding |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144642745 PECOS PAC ID: 5890133995 Enrollment ID: I20240409003086 |
| Provider Name | Angela Rose Ackerman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235644386 PECOS PAC ID: 1850730763 Enrollment ID: I20240411002259 |
| Provider Name | Nicole Vasquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134808769 PECOS PAC ID: 7416396205 Enrollment ID: I20240412001132 |
| Provider Name | Jessica C Mcbride Pauna |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215449756 PECOS PAC ID: 2264871862 Enrollment ID: I20240416001119 |
| Provider Name | Marilyn Violet Court |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922632728 PECOS PAC ID: 5395184949 Enrollment ID: I20240416003003 |
| Provider Name | Tessa Elizabeth Larson Wolden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043790272 PECOS PAC ID: 8527408947 Enrollment ID: I20240502002080 |
| Provider Name | Jonathan Michael Guzman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013558055 PECOS PAC ID: 4486095494 Enrollment ID: I20240508002141 |
| Provider Name | Michael Jacob |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336907575 PECOS PAC ID: 6002257557 Enrollment ID: I20240515000209 |
| Provider Name | Coach Nakumbe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225570740 PECOS PAC ID: 5193167351 Enrollment ID: I20240521000294 |
| Provider Name | Angela Kay Djoumbaye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548777402 PECOS PAC ID: 0446692545 Enrollment ID: I20240521001942 |
| Provider Name | Brooke Riches |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598544405 PECOS PAC ID: 9830631803 Enrollment ID: I20240605002147 |
| Provider Name | John Merrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871954396 PECOS PAC ID: 4789126558 Enrollment ID: I20240607001750 |
| Provider Name | Emily Corcoran Erickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861172884 PECOS PAC ID: 7810430071 Enrollment ID: I20240617003019 |
| Provider Name | Geoffrey Zehnacker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538920681 PECOS PAC ID: 9133662034 Enrollment ID: I20240620000896 |
| Provider Name | Carly Cristine Mccormack |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700478625 PECOS PAC ID: 5294278123 Enrollment ID: I20240620002373 |
| Provider Name | Hannah Jaeger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356051973 PECOS PAC ID: 8426597261 Enrollment ID: I20240826001165 |
| Provider Name | Carol J Strand |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013536648 PECOS PAC ID: 9234678806 Enrollment ID: I20240827002578 |
| Provider Name | Lucy Catherine Weisenbeck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154981421 PECOS PAC ID: 0446799084 Enrollment ID: I20240828000755 |
| Provider Name | Megan Elizabeth Treziok |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992398960 PECOS PAC ID: 8426597709 Enrollment ID: I20240830000683 |
| Provider Name | Emily Marlene Weidenbacher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609606516 PECOS PAC ID: 9931648235 Enrollment ID: I20240830001309 |
| Provider Name | Carly Gershone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871867283 PECOS PAC ID: 0840739074 Enrollment ID: I20240830003211 |
| Provider Name | Hayley Jo Motl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871241612 PECOS PAC ID: 1850831421 Enrollment ID: I20240910001955 |
| Provider Name | Casey Claire Rose Nielsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376181727 PECOS PAC ID: 8325588957 Enrollment ID: I20240910004015 |
| Provider Name | Hannah Lenertz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962001966 PECOS PAC ID: 1153861323 Enrollment ID: I20240913003802 |
| Provider Name | Bridget H Mcguinness |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679176812 PECOS PAC ID: 4587197132 Enrollment ID: I20241104002920 |
| Provider Name | Alison L Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578384293 PECOS PAC ID: 4880120518 Enrollment ID: I20241205000504 |
| Provider Name | Kristine Hughes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851759013 PECOS PAC ID: 4587191572 Enrollment ID: I20250103000631 |
| Provider Name | Karolyn Shelstad-otto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679354856 PECOS PAC ID: 2163944356 Enrollment ID: I20250317003592 |
| Provider Name | Colin Gregory Cooper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134896384 PECOS PAC ID: 9234651274 Enrollment ID: I20250319000719 |
| Provider Name | Samantha Rabang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699482232 PECOS PAC ID: 6800310541 Enrollment ID: I20250403002681 |
| Provider Name | Katherine Gayle Monnens |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699318733 PECOS PAC ID: 8729502190 Enrollment ID: I20250407002525 |
| Provider Name | Bianca Matter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013716968 PECOS PAC ID: 4385168756 Enrollment ID: I20250407002656 |
| Provider Name | Ashley Jo Kraskey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295569804 PECOS PAC ID: 7012436199 Enrollment ID: I20250521003104 |
| Provider Name | Jaime Lynne Jensen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699460535 PECOS PAC ID: 4385154004 Enrollment ID: I20250611000612 |
| Provider Name | Bryce G Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669261624 PECOS PAC ID: 1254841919 Enrollment ID: I20250611001630 |
| Provider Name | Neseriani Katherine Larsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285110189 PECOS PAC ID: 7719223130 Enrollment ID: I20250702003931 |
| Provider Name | Bridget Lynn Schumann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619695780 PECOS PAC ID: 8325552722 Enrollment ID: I20250708003648 |
| Provider Name | Marcus Benson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366965196 PECOS PAC ID: 3072957208 Enrollment ID: I20250710003075 |
| Provider Name | Ron L. Stroud |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265505689 PECOS PAC ID: 5193232189 Enrollment ID: I20250725000025 |
| Provider Name | Heidi Struck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528654308 PECOS PAC ID: 9234639105 Enrollment ID: I20250825002114 |
| Provider Name | Nicole Leigh Green |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144983933 PECOS PAC ID: 1951805993 Enrollment ID: I20250922001536 |
| Provider Name | Portia Mensah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912565342 PECOS PAC ID: 2365948346 Enrollment ID: I20250930000134 |
| Provider Name | Martina Jensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912881517 PECOS PAC ID: 2466941992 Enrollment ID: I20251027000578 |
| Provider Name | Kayla Djonne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770350845 PECOS PAC ID: 1759874209 Enrollment ID: I20251203001260 |
| Provider Name | Daniela Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962394486 PECOS PAC ID: 3779078985 Enrollment ID: I20251224000902 |
| Provider Name | Amber Marie Peifer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427654201 PECOS PAC ID: 9436645827 Enrollment ID: I20260106002245 |
| Provider Name | Sarah Mahmoud Mehanna-vasquez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164004156 PECOS PAC ID: 5890277685 Enrollment ID: I20260302001892 |
| Provider Name | Claire Catherine Guentner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174471304 PECOS PAC ID: 4688141427 Enrollment ID: I20260429001615 |
| Provider Name | Alexandra Ballinger |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1295500734 PECOS PAC ID: 2769959550 Enrollment ID: I20260429002864 |
Laski Mental Wellness & Counseling, LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7101 York Ave S Ste 145, Edina, MN 55435 Phone: 612-202-0535 Fax: 763-999-6107 |
Nova Clinic LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5275 Edina Industrial Blvd Ste 230, Edina, MN 55439 Phone: 252-469-0022 |
Evolving Woman Enterprises, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7300 Metro Blvd, Suite 455, Edina, MN 55439 Phone: 952-835-1616 Fax: 952-835-6182 |
Angela Brust, LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5200 Willson Rd Ste 307, Edina, MN 55424 Phone: 612-987-8070 |
Mooney Consulting PLLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7200 France Ave S, Suite 224, Edina, MN 55435 Phone: 952-831-0422 Fax: 952-831-0443 |
Thrive Modern Health P.A. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7101 York Ave S Ste 157, Edina, MN 55435 Phone: 612-254-6414 |