| Conscious Healing Counseling Inc | |
|
2705 Bunker Lake Blvd Nw Ste 112 Andover MN 55304-3785 | |
| (815) 973-0999 | |
| Not Available |
| Full Name | Conscious Healing Counseling Inc |
|---|---|
| Speciality | Counselor |
| Location | 2705 Bunker Lake Blvd Nw Ste 112, Andover, Minnesota |
| Authorized Official Name and Position | Jamie Lynn Mosley (THERAPIST) |
| Authorized Official Contact | 8159730999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conscious Healing Counseling Inc 20495 Gadwall Ln Rogers MN 55374-8767 Ph: (815) 973-0999 | Conscious Healing Counseling Inc 2705 Bunker Lake Blvd Nw Ste 112 Andover MN 55304-3785 Ph: (815) 973-0999 |
| NPI Number | 1366944597 |
|---|---|
| Provider Enumeration Date | 03/04/2018 |
| Last Update Date | 05/13/2020 |
| Certification Date | 05/13/2020 |
| Medicare PECOS PAC ID | 4688095268 |
|---|---|
| Medicare Enrollment ID | O20200608000853 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366944597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CC01259 (Minnesota) | Primary |
| Provider Name | Joseph A Akoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730637588 PECOS PAC ID: 2163700394 Enrollment ID: I20161024000506 |
| Provider Name | Alea Joy Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689119539 PECOS PAC ID: 5698177939 Enrollment ID: I20210709000774 |
| Provider Name | Tara L Floersch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790460186 PECOS PAC ID: 4183079692 Enrollment ID: I20231018000581 |
| Provider Name | Gretchen Phung |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992248231 PECOS PAC ID: 8527402585 Enrollment ID: I20240216004213 |
| Provider Name | Jamie L Mosley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437559648 PECOS PAC ID: 6204257884 Enrollment ID: I20241113003187 |
| Provider Name | Malinda Mae King |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891178414 PECOS PAC ID: 5799209367 Enrollment ID: I20250404002741 |
| Provider Name | Margaret Rose Ives |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356051239 PECOS PAC ID: 8628592490 Enrollment ID: I20250414002716 |
| Provider Name | Jessica Jean Niles |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1295137248 PECOS PAC ID: 8921523952 Enrollment ID: I20250422002934 |
| Provider Name | Kelsey Marie Laufenberg-anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326884404 PECOS PAC ID: 1052836970 Enrollment ID: I20250423000922 |
| Provider Name | Nikki L Pierce |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720753189 PECOS PAC ID: 1355866294 Enrollment ID: I20250423001423 |
| Provider Name | Katy Karas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538607494 PECOS PAC ID: 6709301641 Enrollment ID: I20250423001497 |
| Provider Name | Briana Leigh Colton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184114381 PECOS PAC ID: 1153847686 Enrollment ID: I20250428004159 |
| Provider Name | Amanda Nicole Neumann |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1962821181 PECOS PAC ID: 1456877646 Enrollment ID: I20250430002976 |
| Provider Name | Taylor Kay West |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326878968 PECOS PAC ID: 8527585496 Enrollment ID: I20250505003292 |
| Provider Name | Kimberly Lynn Diepenbrock |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144825514 PECOS PAC ID: 6305363920 Enrollment ID: I20250507002302 |
| Provider Name | Alison Lynn Perry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972986560 PECOS PAC ID: 6901324045 Enrollment ID: I20250513002082 |
| Provider Name | Danielle Malo Link |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164631230 PECOS PAC ID: 0840700589 Enrollment ID: I20250611001137 |
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