| Fernbrook Family Center, Inc | |
|
115 Landmark Dr Ne Suite 1 Owatonna MN 55060-5702 | |
| (507) 446-0431 | |
| (507) 446-8014 |
| Full Name | Fernbrook Family Center, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 115 Landmark Dr Ne, Owatonna, Minnesota |
| Authorized Official Name and Position | Mandy Young (BUSINESS MANAGER) |
| Authorized Official Contact | 5074460431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fernbrook Family Center, Inc Po Box 977 Owatonna MN 55060-0977 Ph: (507) 446-0431 | Fernbrook Family Center, Inc 115 Landmark Dr Ne Suite 1 Owatonna MN 55060-5702 Ph: (507) 446-0431 |
| NPI Number | 1659483915 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3870872914 |
|---|---|
| Medicare Enrollment ID | O20170531000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659483915 | NPI | - | NPPES |
| 021M3FE | Other | MN | BCBS |
| 167843 | Other | MN | UCARE/SCHA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Heidi A Halla-bauer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154521292 PECOS PAC ID: 8729170188 Enrollment ID: I20161114001482 |
| Provider Name | Lisa B Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295830883 PECOS PAC ID: 2769759307 Enrollment ID: I20170601002036 |
| Provider Name | Katelin A Swanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033656335 PECOS PAC ID: 0648547224 Enrollment ID: I20170602000557 |
| Provider Name | Kaia Elizabeth Lundin Scales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265910889 PECOS PAC ID: 0547510117 Enrollment ID: I20180830003340 |
| Provider Name | Jon Huemoeller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366554636 PECOS PAC ID: 7214204973 Enrollment ID: I20190709000203 |
| Provider Name | Holly Christianson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134666753 PECOS PAC ID: 3870828080 Enrollment ID: I20190710002960 |
| Provider Name | Elizabeth Rose Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740652734 PECOS PAC ID: 8820325996 Enrollment ID: I20190812003779 |
| Provider Name | Ellen Lilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205311297 PECOS PAC ID: 5092043380 Enrollment ID: I20190823003126 |
| Provider Name | Jessica Mertins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437618386 PECOS PAC ID: 4880922848 Enrollment ID: I20190829000038 |
| Provider Name | Rochelle Shultz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598361172 PECOS PAC ID: 5496160590 Enrollment ID: I20210223003228 |
| Provider Name | Tania Gainza-burnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306447123 PECOS PAC ID: 2062827017 Enrollment ID: I20210224002888 |
| Provider Name | Cali Lynn Turbes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538821384 PECOS PAC ID: 5890181143 Enrollment ID: I20220413001615 |
| Provider Name | Melissa Jo Groskreutz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255362281 PECOS PAC ID: 1153696521 Enrollment ID: I20220511000471 |
| Provider Name | Amanda M Toegel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881345312 PECOS PAC ID: 8921478652 Enrollment ID: I20221221001375 |
| Provider Name | Hallie G Costello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881345379 PECOS PAC ID: 8527438258 Enrollment ID: I20221221001560 |
| Provider Name | Skylar Retterath |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134886500 PECOS PAC ID: 9537530688 Enrollment ID: I20230127000695 |
| Provider Name | Kali A Keller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164150090 PECOS PAC ID: 8921479098 Enrollment ID: I20230127001612 |
| Provider Name | Danielle Mansfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013635192 PECOS PAC ID: 6800268020 Enrollment ID: I20230215002062 |
| Provider Name | Rachel Susan Kroontje |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215677562 PECOS PAC ID: 4284006420 Enrollment ID: I20230215002855 |
| Provider Name | Annelies Karon Hagemeister |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619614476 PECOS PAC ID: 6406228444 Enrollment ID: I20230221000716 |
| Provider Name | Kati Michelle Bartelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053043448 PECOS PAC ID: 2567834518 Enrollment ID: I20230221000865 |
| Provider Name | Teresa Leitch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306544580 PECOS PAC ID: 3971976457 Enrollment ID: I20230303000268 |
| Provider Name | Bethany Mueller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497467237 PECOS PAC ID: 9032582531 Enrollment ID: I20230303000802 |
| Provider Name | Laura Gardner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124780978 PECOS PAC ID: 8022479880 Enrollment ID: I20230727000239 |
| Provider Name | Amy Kyle Pfau |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265715619 PECOS PAC ID: 0042660409 Enrollment ID: I20231227001504 |
| Provider Name | Marit Kyllo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174992457 PECOS PAC ID: 4688024045 Enrollment ID: I20231227001525 |
| Provider Name | Emmalynn Pepper Clemmensen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053831248 PECOS PAC ID: 7315397783 Enrollment ID: I20231227001901 |
| Provider Name | Theresa Spear |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811238314 PECOS PAC ID: 4385094762 Enrollment ID: I20231227002051 |
| Provider Name | Tiffany Faye Vanderziel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003391012 PECOS PAC ID: 6002259561 Enrollment ID: I20240212002890 |
| Provider Name | Samantha Kennedy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952938896 PECOS PAC ID: 8628495868 Enrollment ID: I20240214003678 |
| Provider Name | Chastity Pautzke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598366320 PECOS PAC ID: 8820403363 Enrollment ID: I20240215000707 |
| Provider Name | Kelsi Addabbo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326683061 PECOS PAC ID: 0446694673 Enrollment ID: I20240215003318 |
| Provider Name | Mary Morgan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457615254 PECOS PAC ID: 2860836566 Enrollment ID: I20240221002922 |
| Provider Name | Rachael Breidall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508445065 PECOS PAC ID: 7012351711 Enrollment ID: I20240221002997 |
| Provider Name | David Sabotta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386235224 PECOS PAC ID: 8921442575 Enrollment ID: I20240222000557 |
| Provider Name | Anna Finke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336845130 PECOS PAC ID: 9436594918 Enrollment ID: I20240224000507 |
| Provider Name | Samantha Boyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689362139 PECOS PAC ID: 6305207192 Enrollment ID: I20240226000880 |
| Provider Name | Katie Moret |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841892676 PECOS PAC ID: 4082028915 Enrollment ID: I20240227004081 |
| Provider Name | Leann Marie Kahl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205274446 PECOS PAC ID: 1557758711 Enrollment ID: I20240227004259 |
| Provider Name | Loni Fagel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306610266 PECOS PAC ID: 1658716709 Enrollment ID: I20240228001691 |
| Provider Name | Bethany Lynn Reyant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497260350 PECOS PAC ID: 0042607921 Enrollment ID: I20240228004344 |
| Provider Name | Amber Fofana |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417434291 PECOS PAC ID: 2264877307 Enrollment ID: I20240229000163 |
| Provider Name | Shannon R Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528482205 PECOS PAC ID: 3173968161 Enrollment ID: I20240229001991 |
| Provider Name | Jade Miles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467052555 PECOS PAC ID: 9234544875 Enrollment ID: I20240229002031 |
| Provider Name | Juliet Sheralyn Beckel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851531867 PECOS PAC ID: 2466897475 Enrollment ID: I20240229002744 |
Northstar Psychology Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 N Cedar Ave # 1, Owatonna, MN 55060 Phone: 651-500-1964 | |
South Central Human Relations Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 610 Florence Ave, Owatonna, MN 55060 Phone: 507-451-2630 Fax: 507-455-8133 | |
Stage By Staige- Jail Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Alexander St Sw, Owatonna, MN 55060 Phone: 507-216-5151 Fax: 507-634-7120 | |
Brighter Skies Psychiatry Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 N Cedar Ave Ste 1, Owatonna, MN 55060 Phone: 651-256-3069 | |
The Mill Street House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 E Mill St, Owatonna, MN 55060 Phone: 507-446-0002 Fax: 507-451-8003 | |
Redeeming Mind Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 E Main St, Owatonna, MN 55060 Phone: 612-564-5614 | |
The Rainbow Therapy Center Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 N Cedar Ave Ste 1, Owatonna, MN 55060 Phone: 651-243-0149 |