| Birch Counseling, Pllc. | |
|
12800 Whitewater Dr # 310 Minnetonka MN 55343-9441 | |
| (866) 244-2472 | |
| (763) 717-8049 |
| Full Name | Birch Counseling, Pllc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 12800 Whitewater Dr # 310, Minnetonka, Minnesota |
| Authorized Official Name and Position | Christa Ruth Surerus (ADMINISTRATOR) |
| Authorized Official Contact | 8665222472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Birch Counseling, Pllc. 12800 Whitewater Dr # 310 Minnetonka MN 55343-9441 Ph: (866) 522-2472 | Birch Counseling, Pllc. 12800 Whitewater Dr # 310 Minnetonka MN 55343-9441 Ph: (866) 244-2472 |
| NPI Number | 1598186330 |
|---|---|
| Provider Enumeration Date | 12/20/2013 |
| Last Update Date | 12/07/2024 |
| Certification Date | 12/07/2024 |
| Medicare PECOS PAC ID | 0840554218 |
|---|---|
| Medicare Enrollment ID | O20230914000697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598186330 | NPI | - | NPPES |
| 1598186330 | Medicaid | MN |
| Provider Name | Scott M Jacoby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073826913 PECOS PAC ID: 0345405098 Enrollment ID: I20120629000478 |
| Provider Name | Kirsten C Rewey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578983946 PECOS PAC ID: 4688899941 Enrollment ID: I20140701000777 |
| Provider Name | Laura Linner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437695624 PECOS PAC ID: 9133539778 Enrollment ID: I20201110001188 |
| Provider Name | Alison J Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417627282 PECOS PAC ID: 0840647376 Enrollment ID: I20231106001399 |
| Provider Name | Christa R Surerus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326232729 PECOS PAC ID: 2365806080 Enrollment ID: I20240501002164 |
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