| Collaborative Counseling Llc | |
|
12918 63rd Ave N Maple Grove MN 55369-6001 | |
| (763) 210-9966 | |
| Not Available |
| Full Name | Collaborative Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 12918 63rd Ave N, Maple Grove, Minnesota |
| Authorized Official Name and Position | Naomi Doriott Larson (OWNER AND THERAPIST) |
| Authorized Official Contact | 7632109966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Counseling Llc 12918 63rd Ave N Maple Grove MN 55369-6001 Ph: (763) 210-9966 | Collaborative Counseling Llc 12918 63rd Ave N Maple Grove MN 55369-6001 Ph: (763) 210-9966 |
| NPI Number | 1598034324 |
|---|---|
| Provider Enumeration Date | 12/22/2011 |
| Last Update Date | 05/18/2023 |
| Certification Date | 05/18/2023 |
| Medicare PECOS PAC ID | 3678711900 |
|---|---|
| Medicare Enrollment ID | O20160907001302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598034324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1064 (Minnesota) | Primary |
| Provider Name | Leah A Burton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205116241 PECOS PAC ID: 4587828207 Enrollment ID: I20120608000521 |
| Provider Name | Donna J Shimoda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760745996 PECOS PAC ID: 6406002906 Enrollment ID: I20120913000706 |
| Provider Name | Mckala K Mcwilliams-nehring |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467724450 PECOS PAC ID: 6901043389 Enrollment ID: I20130501000563 |
| Provider Name | Cynthia A Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619295276 PECOS PAC ID: 2365713005 Enrollment ID: I20170731000239 |
| Provider Name | Mary B Patterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770601643 PECOS PAC ID: 9830272491 Enrollment ID: I20190824000688 |
| Provider Name | Lisa M Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942951009 PECOS PAC ID: 7810349867 Enrollment ID: I20240116001939 |
| Provider Name | Mckenzie E Racine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568057180 PECOS PAC ID: 2961854849 Enrollment ID: I20240116003104 |
| Provider Name | Melissa S Haas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619165578 PECOS PAC ID: 2466707310 Enrollment ID: I20240118003883 |
| Provider Name | Andrea D Beitler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740693993 PECOS PAC ID: 4486006004 Enrollment ID: I20240119001008 |
| Provider Name | Kathy M Guilhas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952638199 PECOS PAC ID: 6901259977 Enrollment ID: I20240125002769 |
| Provider Name | Rian M Rahm |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689113938 PECOS PAC ID: 3971956970 Enrollment ID: I20240125003666 |
| Provider Name | Emily Cotton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326213497 PECOS PAC ID: 7911350376 Enrollment ID: I20240201001734 |
| Provider Name | Patricia Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497895924 PECOS PAC ID: 8022451103 Enrollment ID: I20240206000765 |
| Provider Name | Karissa J Meyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164973970 PECOS PAC ID: 1658714506 Enrollment ID: I20240207002116 |
| Provider Name | Kelley K Emerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639209141 PECOS PAC ID: 0446693147 Enrollment ID: I20240209001869 |
| Provider Name | Stephanie T Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811262249 PECOS PAC ID: 5991148538 Enrollment ID: I20240209003349 |
| Provider Name | Audrey Shipman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134671837 PECOS PAC ID: 2769826064 Enrollment ID: I20240214002966 |
| Provider Name | Stephanie T Nicolet |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992126858 PECOS PAC ID: 3678917937 Enrollment ID: I20240215000425 |
| Provider Name | Nicole M Gardner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891402723 PECOS PAC ID: 1951745223 Enrollment ID: I20240215000820 |
| Provider Name | Danielle L Ruff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811273279 PECOS PAC ID: 9234572629 Enrollment ID: I20240216000697 |
| Provider Name | Jessica R Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902558976 PECOS PAC ID: 6305280058 Enrollment ID: I20240221001452 |
| Provider Name | Katrina I Mahan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205592201 PECOS PAC ID: 7113362013 Enrollment ID: I20240301001567 |
Totum Mental Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11670 Fountains Dr Ste 200, Maple Grove, MN 55369 Phone: 612-355-0693 | |
Healthy Hands Housing Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8834 Jonquil Ln N, Maple Grove, MN 55369 Phone: 612-703-6910 | |
Amy J. Finn, Marriage And Family Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7382 Kirkwood Ct, Maple Grove, MN 55369 Phone: 612-290-8054 | |
Christian Family Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9200 Elm Creek Blvd N, Maple Grove, MN 55369 Phone: 800-438-1772 Fax: 262-293-9737 | |
Trellis Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13700 83rd Way N, 201, Maple Grove, MN 55369 Phone: 763-354-0508 | |
Peterson Counseling And Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10650 County Road 81 Ste 205, Maple Grove, MN 55369 Phone: 608-332-3490 | |
Hanson Associates Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7200 Hemlock Ln N Suite 108, Maple Grove, MN 55369 Phone: 763-533-5339 Fax: 763-390-0862 |