| Five Rivers Mental Health Clinic Llc | |
|
1650 Madison Ave Ste 102 Mankato MN 56001-5471 | |
| (507) 345-7012 | |
| (507) 388-6937 |
| Full Name | Five Rivers Mental Health Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1650 Madison Ave, Mankato, Minnesota |
| Authorized Official Name and Position | Sarah K Sifers (PRESIDENT) |
| Authorized Official Contact | 5073457012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Five Rivers Mental Health Clinic Llc 1650 Madison Ave Ste 102 Mankato MN 56001-5471 Ph: (507) 345-7012 | Five Rivers Mental Health Clinic Llc 1650 Madison Ave Ste 102 Mankato MN 56001-5471 Ph: (507) 345-7012 |
| NPI Number | 1689111601 |
|---|---|
| Provider Enumeration Date | 01/28/2017 |
| Last Update Date | 08/19/2020 |
| Certification Date | 08/19/2020 |
| Medicare PECOS PAC ID | 5698042729 |
|---|---|
| Medicare Enrollment ID | O20170522001033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689111601 | NPI | - | NPPES |
| 1689111601 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LP5185 (Minnesota) | Primary |
| Provider Name | Sarah K Sifers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659656031 PECOS PAC ID: 6406147008 Enrollment ID: I20160628002216 |
| Provider Name | Gudrun Teigen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548700859 PECOS PAC ID: 9931484581 Enrollment ID: I20170321002507 |
| Provider Name | Kristy Jean Danielson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396417705 PECOS PAC ID: 2163811902 Enrollment ID: I20211116001815 |
Encompass Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 W 6th St, Mankato, MN 56001 Phone: 507-217-9491 | |
Dba: Mrci Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1750 Energy Drive, Mankato, MN 56001 Phone: 507-386-5600 Fax: 507-386-5795 | |
Advanced Psychological Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 Belle Ave, Mankato, MN 56001 Phone: 877-909-5511 Fax: 507-888-0001 | |
Evolving Perspective Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Warren St, Mankato, MN 56001 Phone: 507-320-9060 | |
Mankato Mental Health Associates, Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 209 S Broad St, Suite C, Mankato, MN 56001 Phone: 507-345-4448 Fax: 507-625-1000 | |
Willow Pathways Therapeutic Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 881 Madison Ave, Mankato, MN 56001 Phone: 507-225-0450 Fax: 507-779-7182 | |
Phoenix Group Homes, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 E Main St, Suite 105, Mankato, MN 56001 Phone: 507-385-0668 Fax: 507-385-0020 |