| Freeborn County Mental Health Center | |
|
203 West Clark Street Albert Lea MN 56007-1246 | |
| (507) 377-5440 | |
| (507) 377-5505 |
| Full Name | Freeborn County Mental Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 203 West Clark Street, Albert Lea, Minnesota |
| Authorized Official Name and Position | Ronald R Gabrielsen (COUNTY ADMINISTRATOR) |
| Authorized Official Contact | 5073775116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freeborn County Mental Health Center Po Box 1246 Albert Lea MN 56007-1246 Ph: (507) 377-5440 | Freeborn County Mental Health Center 203 West Clark Street Albert Lea MN 56007-1246 Ph: (507) 377-5440 |
| NPI Number | 1184700312 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2163404872 |
|---|---|
| Medicare Enrollment ID | O20040607000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184700312 | NPI | - | NPPES |
| 30181FR | Other | MN | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 800854-1-MHC (Minnesota) | Primary |
| Provider Name | Mark A Kossman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891851580 PECOS PAC ID: 9638116510 Enrollment ID: I20050412001011 |
| Provider Name | Angela M Leon Galat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518016112 PECOS PAC ID: 1254354004 Enrollment ID: I20060109000190 |
| Provider Name | Annette Smick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982654877 PECOS PAC ID: 8628173671 Enrollment ID: I20070419000248 |
| Provider Name | Robin R Ballina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023089745 PECOS PAC ID: 3678460185 Enrollment ID: I20070424000454 |
| Provider Name | Vickie L Bush |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548393754 PECOS PAC ID: 1951406602 Enrollment ID: I20070425000260 |
| Provider Name | Tara K Jeno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649728395 PECOS PAC ID: 1759678386 Enrollment ID: I20160927000096 |
| Provider Name | Brian S Vold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285047951 PECOS PAC ID: 9436374634 Enrollment ID: I20171227002612 |
| Provider Name | Katherine M Rosell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548872906 PECOS PAC ID: 7012320658 Enrollment ID: I20201229000079 |
| Provider Name | Jillian Vollbrecht |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447801527 PECOS PAC ID: 7214331008 Enrollment ID: I20210802000045 |
| Provider Name | Christopher Lee Olson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972170553 PECOS PAC ID: 7113317397 Enrollment ID: I20211201003088 |
Abigail Goskeson Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 117 S Newton Ave, Albert Lea, MN 56007 Phone: 507-383-6872 | |
Individual And Family Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 E Clark St Ste 201, Albert Lea, MN 56007 Phone: 507-377-2224 Fax: 507-377-2224 | |
Essential Psychology Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 216 E Main St Ste 4, Albert Lea, MN 56007 Phone: 507-383-2560 | |
Water Street Psychology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 668 Meadow Ln, Albert Lea, MN 56007 Phone: 507-377-1719 Fax: 507-377-1724 | |
Freeborn County Chemical Dependency Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 916 S Broadway Ave, Albert Lea, MN 56007 Phone: 507-377-5172 Fax: 507-377-5249 | |
Kina Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 244 W Clark St, Albert Lea, MN 56007 Phone: 507-373-7913 |