| Eden Therapy Center, Llc | |
|
800 Prairie Center Dr Ste 210 Eden Prairie MN 55344-7328 | |
| (952) 234-9210 | |
| (952) 204-3933 |
| Full Name | Eden Therapy Center, Llc |
|---|---|
| Speciality | Counselor |
| Location | 800 Prairie Center Dr Ste 210, Eden Prairie, Minnesota |
| Authorized Official Name and Position | Nancy Ann Lowe (OWNER) |
| Authorized Official Contact | 9528076516 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eden Therapy Center, Llc 800 Prairie Center Dr Ste 210 Eden Prairie MN 55344-7328 Ph: (952) 234-9210 | Eden Therapy Center, Llc 800 Prairie Center Dr Ste 210 Eden Prairie MN 55344-7328 Ph: (952) 234-9210 |
| NPI Number | 1275037277 |
|---|---|
| Provider Enumeration Date | 03/23/2018 |
| Last Update Date | 01/30/2019 |
| Medicare PECOS PAC ID | 7810381985 |
|---|---|
| Medicare Enrollment ID | O20220307001427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275037277 | NPI | - | NPPES |
| 1811349764 | Other | MN | NPI |
| 1861944761 | Other | MN | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CC01257 (Minnesota) | Primary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| Provider Name | Kara A Derner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275715492 PECOS PAC ID: 6002080165 Enrollment ID: I20111129000752 |
| Provider Name | Justin L Schmiesing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457893711 PECOS PAC ID: 6103212642 Enrollment ID: I20220408001166 |
| Provider Name | Alexander Joseph Mcleod |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710751003 PECOS PAC ID: 4789035510 Enrollment ID: I20240105002915 |
| Provider Name | Nancy Ann Lowe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811349764 PECOS PAC ID: 1456745520 Enrollment ID: I20240514001406 |
| Provider Name | Lori Ann Alford |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1881193506 PECOS PAC ID: 6608218565 Enrollment ID: I20240523000225 |
| Provider Name | Penny Patricia White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114709102 PECOS PAC ID: 4688112857 Enrollment ID: I20240819003919 |
Emmerich Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6542 Regency Ln Ste 210, Eden Prairie, MN 55344 Phone: 612-564-3402 | |
Apexrise Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8537 Cardiff Ln, Eden Prairie, MN 55344 Phone: 763-269-0407 | |
Optum Medical Services, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11000 Optum Cir, Eden Prairie, MN 55344 Phone: 503-746-0048 | |
Talk Therapy, Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6542 Regency Ln, Suite 208, Eden Prairie, MN 55344 Phone: 952-903-9204 Fax: 952-903-9257 | |
Kirsten Webb Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7947 S Bay Curv, Eden Prairie, MN 55347 Phone: 507-990-2696 | |
Havvacare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13000 Dahlia Cir Apt 307, Eden Prairie, MN 55344 Phone: 763-910-5076 | |
Kathryn Lynn Fischer, Md, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 574 Prairie Center Dr, #135-292, Eden Prairie, MN 55344 Phone: 612-710-3671 Fax: 763-295-4946 |