| Knutson Counseling & Seminars, Inc | |
|
1809 19th Ave Sw Willmar MN 56201-4946 | |
| (320) 441-7000 | |
| Not Available |
| Full Name | Knutson Counseling & Seminars, Inc |
|---|---|
| Speciality | Counselor |
| Location | 1809 19th Ave Sw, Willmar, Minnesota |
| Authorized Official Name and Position | Elizabeth Hillstrom (ADMINISTRATOR) |
| Authorized Official Contact | 3202312738 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Knutson Counseling & Seminars, Inc 328 5th St Sw Willmar MN 56201-3200 Ph: (320) 231-2738 | Knutson Counseling & Seminars, Inc 1809 19th Ave Sw Willmar MN 56201-4946 Ph: (320) 441-7000 |
| NPI Number | 1568784668 |
|---|---|
| Provider Enumeration Date | 02/17/2010 |
| Last Update Date | 01/23/2023 |
| Certification Date | 01/23/2023 |
| Medicare PECOS PAC ID | 6800925157 |
|---|---|
| Medicare Enrollment ID | O20100525000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568784668 | NPI | - | NPPES |
| 800001976 | Other | MEDICARE PTAN | |
| 70L94KN | Other | MN | BCBSMN |
| 011064700 | Other | MN | DHS |
| 20519475456201A006 | Other | MN | TRICARE WEST |
| 360S0KN | Other | BCBS | |
| HP85447 | Other | MN | HEALTH PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 11513 (Minnesota) | Primary |
| Provider Name | Shawna Ln Ehlenbach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962561142 PECOS PAC ID: 2860449063 Enrollment ID: I20050331000077 |
| Provider Name | Beth A Aponte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497818827 PECOS PAC ID: 4880798917 Enrollment ID: I20070329000651 |
| Provider Name | Elouise A Knutson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972640464 PECOS PAC ID: 3779664446 Enrollment ID: I20080118000645 |
| Provider Name | Timothy C Lucas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376602334 PECOS PAC ID: 3870621626 Enrollment ID: I20100514000586 |
| Provider Name | Clarence W Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053481069 PECOS PAC ID: 0840473674 Enrollment ID: I20110331000552 |
| Provider Name | Jennifer M Webb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417585084 PECOS PAC ID: 5698189207 Enrollment ID: I20210121003094 |
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