| Lyn-lake Psychotherapy And Wellness Ltd. | |
|
621 W Lake St Ste 350 Minneapolis MN 55408-2952 | |
| (612) 979-2276 | |
| (651) 925-0427 |
| Full Name | Lyn-lake Psychotherapy And Wellness Ltd. |
|---|---|
| Speciality | Psychologist |
| Location | 621 W Lake St Ste 350, Minneapolis, Minnesota |
| Authorized Official Name and Position | Emily Rose Van Wyk (PRESIDENT) |
| Authorized Official Contact | 6514858417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyn-lake Psychotherapy And Wellness Ltd. 621 W Lake St Ste 350 Minneapolis MN 55408-2952 Ph: (612) 979-2276 | Lyn-lake Psychotherapy And Wellness Ltd. 621 W Lake St Ste 350 Minneapolis MN 55408-2952 Ph: (612) 979-2276 |
| NPI Number | 1609355163 |
|---|---|
| Provider Enumeration Date | 08/07/2018 |
| Last Update Date | 01/04/2021 |
| Certification Date | 01/04/2021 |
| Medicare PECOS PAC ID | 9638581291 |
|---|---|
| Medicare Enrollment ID | O20201224000071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609355163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Theresa M Voss |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1093936379 PECOS PAC ID: 2163460833 Enrollment ID: I20050422000239 |
| Provider Name | Amy E Mellum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285817528 PECOS PAC ID: 3476632464 Enrollment ID: I20080501000545 |
| Provider Name | Patricia Murray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275783433 PECOS PAC ID: 7315082922 Enrollment ID: I20100308000403 |
| Provider Name | Kyan Soon Ja Bodden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194034686 PECOS PAC ID: 4284814401 Enrollment ID: I20110204000789 |
| Provider Name | Susan R Roeller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801193123 PECOS PAC ID: 8022293133 Enrollment ID: I20110504000408 |
| Provider Name | Lisa R Ocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285919548 PECOS PAC ID: 8628244159 Enrollment ID: I20120104000252 |
| Provider Name | Elizabeth Henderson Shreve |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366766032 PECOS PAC ID: 1052555679 Enrollment ID: I20130923000339 |
| Provider Name | Nicolette Ann Erchul |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598102873 PECOS PAC ID: 5294958609 Enrollment ID: I20140603000722 |
| Provider Name | Amber Schneider |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184036329 PECOS PAC ID: 4284858564 Enrollment ID: I20140605001969 |
| Provider Name | Emily R Van Wyk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174939961 PECOS PAC ID: 8426274382 Enrollment ID: I20140729002766 |
| Provider Name | Jean M Rivard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154754984 PECOS PAC ID: 7911213319 Enrollment ID: I20150831002263 |
| Provider Name | Brittan J Donohoe |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538531165 PECOS PAC ID: 0648578328 Enrollment ID: I20160413000590 |
| Provider Name | Jade A Erickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811389679 PECOS PAC ID: 8921307489 Enrollment ID: I20160504001927 |
| Provider Name | Cameron B Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336682640 PECOS PAC ID: 0648551325 Enrollment ID: I20170112000265 |
| Provider Name | Jeannie M Campe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114476512 PECOS PAC ID: 5395027262 Enrollment ID: I20170130001084 |
| Provider Name | Jamie R Hackett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104340751 PECOS PAC ID: 7810259868 Enrollment ID: I20180403000486 |
| Provider Name | Terri E Bly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093221129 PECOS PAC ID: 4587927967 Enrollment ID: I20180417002513 |
| Provider Name | Nancy R Giffen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841300415 PECOS PAC ID: 3971690702 Enrollment ID: I20180423001556 |
| Provider Name | Ethan E Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275024341 PECOS PAC ID: 5294076907 Enrollment ID: I20190406000035 |
| Provider Name | Rebecca Ann Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790344125 PECOS PAC ID: 3779818398 Enrollment ID: I20190718000448 |
| Provider Name | Peggy Jackson Chun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326601089 PECOS PAC ID: 4981930062 Enrollment ID: I20190726001875 |
| Provider Name | Joanna Louise Mills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760815583 PECOS PAC ID: 2860636115 Enrollment ID: I20190807000373 |
| Provider Name | Emily Bemben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760897375 PECOS PAC ID: 1456680859 Enrollment ID: I20190910003651 |
| Provider Name | Kathleen Ann Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467574715 PECOS PAC ID: 3971931262 Enrollment ID: I20200320000261 |
| Provider Name | Susan Herrmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306928239 PECOS PAC ID: 6406011089 Enrollment ID: I20200409000422 |
| Provider Name | Amy L. Kephart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174845119 PECOS PAC ID: 1850720020 Enrollment ID: I20200409001165 |
| Provider Name | Stephanie A Dietz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467083436 PECOS PAC ID: 2961823885 Enrollment ID: I20200602000779 |
| Provider Name | Becca Marie Mahnesmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912527268 PECOS PAC ID: 8527482967 Enrollment ID: I20200720000494 |
| Provider Name | Sarah Slathar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649893777 PECOS PAC ID: 9234555335 Enrollment ID: I20200820000019 |
| Provider Name | Joanna Maria Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760025035 PECOS PAC ID: 2567880743 Enrollment ID: I20200921001718 |
| Provider Name | Gregory Homan Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760750921 PECOS PAC ID: 6507151560 Enrollment ID: I20210128001706 |
| Provider Name | Allison Bjork |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801499298 PECOS PAC ID: 2567876428 Enrollment ID: I20210204001051 |
| Provider Name | Heather Marie Livingston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700461555 PECOS PAC ID: 7517375140 Enrollment ID: I20210421000599 |
| Provider Name | Susan Mihwa Haffner |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1659961498 PECOS PAC ID: 4880003912 Enrollment ID: I20210503000256 |
| Provider Name | Charlotte Ann Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063999472 PECOS PAC ID: 9537568746 Enrollment ID: I20210520000595 |
| Provider Name | Jamie L Baso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356922496 PECOS PAC ID: 8123427135 Enrollment ID: I20210525000530 |
| Provider Name | Paige A Love |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275168668 PECOS PAC ID: 0941601389 Enrollment ID: I20210623001832 |
| Provider Name | Lynn M Whitfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770175127 PECOS PAC ID: 1951708569 Enrollment ID: I20210924000615 |
| Provider Name | June Jenn Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467853325 PECOS PAC ID: 9638577166 Enrollment ID: I20211013001327 |
| Provider Name | Vivienne Lorijn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750958005 PECOS PAC ID: 4082006937 Enrollment ID: I20220126002042 |
| Provider Name | Brianna Sigg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023763364 PECOS PAC ID: 2365837218 Enrollment ID: I20220311001927 |
| Provider Name | Hugh Armstrong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598147548 PECOS PAC ID: 1456746668 Enrollment ID: I20220324001047 |
| Provider Name | Emily Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063027209 PECOS PAC ID: 3779965777 Enrollment ID: I20220808003136 |
| Provider Name | Jennifer Lynn Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558021568 PECOS PAC ID: 4789067513 Enrollment ID: I20220811002346 |
| Provider Name | Christopher Ray Wlaschin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609266584 PECOS PAC ID: 0143606038 Enrollment ID: I20220929002457 |
| Provider Name | Mason R Nordman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679235899 PECOS PAC ID: 0648643775 Enrollment ID: I20230310000266 |
| Provider Name | Susan Eve Balto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174248025 PECOS PAC ID: 4880068717 Enrollment ID: I20230316000955 |
| Provider Name | Helena Catherine Lafave |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861165490 PECOS PAC ID: 4587021613 Enrollment ID: I20230606001142 |
| Provider Name | Daniel Alberto Perez Amparo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770278947 PECOS PAC ID: 3173982303 Enrollment ID: I20230706003538 |
| Provider Name | Jenna Dorschner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336803840 PECOS PAC ID: 1759745466 Enrollment ID: I20230914000375 |
| Provider Name | Rosie Shayna Math |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518558071 PECOS PAC ID: 6709240336 Enrollment ID: I20230914001435 |
| Provider Name | Mi Ja Kang Bergerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659086601 PECOS PAC ID: 9335503770 Enrollment ID: I20230918003667 |
| Provider Name | Patricia Ann Schulte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104423169 PECOS PAC ID: 1456706274 Enrollment ID: I20231016000556 |
| Provider Name | Habib Mogib Salama |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457041386 PECOS PAC ID: 5294181962 Enrollment ID: I20231101001309 |
| Provider Name | Margaret Marie Skrypek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053191957 PECOS PAC ID: 1052768355 Enrollment ID: I20231108001152 |
| Provider Name | Max Avery |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649823816 PECOS PAC ID: 7517318496 Enrollment ID: I20240104001861 |
| Provider Name | Erin Elizabeth Appel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609257112 PECOS PAC ID: 2264883818 Enrollment ID: I20240108003953 |
| Provider Name | Erica Lynn Golofski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710557822 PECOS PAC ID: 0941651400 Enrollment ID: I20240109002237 |
| Provider Name | Tonya De Toutge |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780348896 PECOS PAC ID: 3870944358 Enrollment ID: I20240109002895 |
| Provider Name | Elise Nathalie Meger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538775143 PECOS PAC ID: 5597117531 Enrollment ID: I20240116001494 |
| Provider Name | Karen Elizabeth Lundin Pieper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851807655 PECOS PAC ID: 0244682136 Enrollment ID: I20240116003456 |
| Provider Name | Elora Denise Riggs Lyksett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669105987 PECOS PAC ID: 5496107864 Enrollment ID: I20240122002046 |
| Provider Name | Rileigh Nicole Coyle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093395170 PECOS PAC ID: 1052764081 Enrollment ID: I20240126000116 |
| Provider Name | Tara Lebaron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124490453 PECOS PAC ID: 7113370016 Enrollment ID: I20240126002611 |
| Provider Name | Julian Walter Sachs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245008358 PECOS PAC ID: 8123471844 Enrollment ID: I20240130001347 |
| Provider Name | Lynanne Evenson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639645898 PECOS PAC ID: 2466895511 Enrollment ID: I20240206003223 |
| Provider Name | Andrea Elena Caro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770344095 PECOS PAC ID: 5092014506 Enrollment ID: I20240215000935 |
| Provider Name | Stephen Platt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740721778 PECOS PAC ID: 4284078239 Enrollment ID: I20240216004063 |
| Provider Name | David Walz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285004473 PECOS PAC ID: 2860836798 Enrollment ID: I20240220001254 |
| Provider Name | Amy Park Dols |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699143842 PECOS PAC ID: 1557706090 Enrollment ID: I20240223003400 |
| Provider Name | Dina Elias Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275938276 PECOS PAC ID: 2769827997 Enrollment ID: I20240228000516 |
| Provider Name | Megan Maureen Mcgregor |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821564725 PECOS PAC ID: 5991141525 Enrollment ID: I20240306001057 |
| Provider Name | Kristin Trettel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558126821 PECOS PAC ID: 8527404045 Enrollment ID: I20240306004439 |
| Provider Name | Lucy Elizabeth Dressen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841937653 PECOS PAC ID: 0941647184 Enrollment ID: I20240322002460 |
| Provider Name | Kayla Ferrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457113938 PECOS PAC ID: 0042657181 Enrollment ID: I20240325001735 |
| Provider Name | Melissa J Forth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598478851 PECOS PAC ID: 8022455179 Enrollment ID: I20240325002208 |
| Provider Name | Luke Yost |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003524364 PECOS PAC ID: 3476990532 Enrollment ID: I20240325002311 |
| Provider Name | Allyson Waninger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093332488 PECOS PAC ID: 5092152926 Enrollment ID: I20240327000664 |
| Provider Name | Catherine Cich |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770155640 PECOS PAC ID: 1850739186 Enrollment ID: I20240405002059 |
| Provider Name | Robert Alan Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295458644 PECOS PAC ID: 7214376912 Enrollment ID: I20240415001189 |
| Provider Name | Elena Shaffer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376226068 PECOS PAC ID: 8820437239 Enrollment ID: I20240418001525 |
| Provider Name | Allison Winter Hable |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497336390 PECOS PAC ID: 6305285420 Enrollment ID: I20240422001837 |
| Provider Name | Daniel Hoffman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922740620 PECOS PAC ID: 2062852619 Enrollment ID: I20240430000159 |
| Provider Name | Laurie A Moser |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1053550251 PECOS PAC ID: 1951741438 Enrollment ID: I20240501001193 |
| Provider Name | Liza N Meredith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407496516 PECOS PAC ID: 4082055439 Enrollment ID: I20240516000036 |
| Provider Name | Christina Maria Jobelius |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811557184 PECOS PAC ID: 7517401821 Enrollment ID: I20240627002459 |
| Provider Name | Isaac Oliver Conlon-kvale |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699418988 PECOS PAC ID: 3173068855 Enrollment ID: I20240717004413 |
| Provider Name | Akenzua Agbator |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427891043 PECOS PAC ID: 8921544305 Enrollment ID: I20240722002318 |
| Provider Name | Ryanne Mellick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760105373 PECOS PAC ID: 9436695475 Enrollment ID: I20240725002986 |
| Provider Name | Mary Vanderloop |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083690606 PECOS PAC ID: 3173060746 Enrollment ID: I20240731002418 |
| Provider Name | Leah L Bonine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407410715 PECOS PAC ID: 4981141470 Enrollment ID: I20240801002544 |
| Provider Name | Karlie Jo Weishoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639953102 PECOS PAC ID: 2961940713 Enrollment ID: I20240812003656 |
| Provider Name | Nina K Murray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902474661 PECOS PAC ID: 7214476076 Enrollment ID: I20240826001680 |
| Provider Name | Andrew Philip Braum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447700984 PECOS PAC ID: 8022557560 Enrollment ID: I20240828001052 |
| Provider Name | Edward Fosco |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205344132 PECOS PAC ID: 8729527957 Enrollment ID: I20240830002930 |
| Provider Name | Erin Trapp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932862547 PECOS PAC ID: 9032658216 Enrollment ID: I20240902000500 |
| Provider Name | Erica Warffuel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053913053 PECOS PAC ID: 0446791453 Enrollment ID: I20240918000845 |
| Provider Name | Corinne Marie Nechalova |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114492261 PECOS PAC ID: 0547701500 Enrollment ID: I20240918002870 |
| Provider Name | Nicole Petersen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063247237 PECOS PAC ID: 6305387275 Enrollment ID: I20240918003554 |
| Provider Name | Zota Decontee Korti |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598352957 PECOS PAC ID: 1355882895 Enrollment ID: I20240924001737 |
| Provider Name | Katherine Lea Snell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588186035 PECOS PAC ID: 9739610601 Enrollment ID: I20241002002089 |
| Provider Name | Leah Nichole Seeger |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336514926 PECOS PAC ID: 0941733919 Enrollment ID: I20241029003397 |
| Provider Name | Joo Kim |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720732837 PECOS PAC ID: 5890229173 Enrollment ID: I20241108001524 |
| Provider Name | Timothy James Hewitt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811666167 PECOS PAC ID: 3173058179 Enrollment ID: I20241127003860 |
| Provider Name | Kathleen Gehring Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407339005 PECOS PAC ID: 8123555968 Enrollment ID: I20241218001731 |
| Provider Name | Carissa L Tchalla |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821871971 PECOS PAC ID: 2668909383 Enrollment ID: I20241219001247 |
| Provider Name | Karen Byrd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538411723 PECOS PAC ID: 5395272603 Enrollment ID: I20241227002113 |
| Provider Name | Luyang Gao |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912711839 PECOS PAC ID: 8224568969 Enrollment ID: I20250210002522 |
| Provider Name | Frederick Marcus Vickery |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215443049 PECOS PAC ID: 0941730543 Enrollment ID: I20250212001157 |
| Provider Name | Brian Nolan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134933922 PECOS PAC ID: 4880124114 Enrollment ID: I20250214003296 |
| Provider Name | Thomas John Hegblom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710647425 PECOS PAC ID: 3779003058 Enrollment ID: I20250218001812 |
| Provider Name | Pari Semsar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376356956 PECOS PAC ID: 2062932924 Enrollment ID: I20250221001333 |
| Provider Name | Anna Mitie Morgan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235761255 PECOS PAC ID: 0547780470 Enrollment ID: I20250224000504 |
| Provider Name | Sharon Burris-brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518512284 PECOS PAC ID: 7214457852 Enrollment ID: I20250226000277 |
| Provider Name | Lauren Marie Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336611854 PECOS PAC ID: 2365963774 Enrollment ID: I20250228003375 |
| Provider Name | Breanne G. Kwatera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710456405 PECOS PAC ID: 4587185749 Enrollment ID: I20250305000904 |
| Provider Name | Bretta Oe Moore |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558669903 PECOS PAC ID: 2961924121 Enrollment ID: I20250317002864 |
| Provider Name | Amber Marie Jager |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841642188 PECOS PAC ID: 4789107152 Enrollment ID: I20250326001567 |
| Provider Name | Mari Robyn Tankenoff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174719280 PECOS PAC ID: 5698298701 Enrollment ID: I20250331000428 |
| Provider Name | Gwen Rose Scherr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265069785 PECOS PAC ID: 4082138656 Enrollment ID: I20250404003006 |
| Provider Name | Katrina Seitz-anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922556463 PECOS PAC ID: 6800310848 Enrollment ID: I20250410003148 |
| Provider Name | Veronica Rivera Arteaga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679239966 PECOS PAC ID: 4880112309 Enrollment ID: I20250519002427 |
| Provider Name | Heather Glenn Macleod |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356834428 PECOS PAC ID: 3173850237 Enrollment ID: I20250520001616 |
| Provider Name | Nancy J. Soles |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376680405 PECOS PAC ID: 7719406107 Enrollment ID: I20250529000978 |
| Provider Name | Julia Spiros Fox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942745625 PECOS PAC ID: 9638689805 Enrollment ID: I20250606002074 |
| Provider Name | Nicole Casey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376098715 PECOS PAC ID: 1951811934 Enrollment ID: I20250609002962 |
| Provider Name | Nathalie Ann Mahood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174315550 PECOS PAC ID: 3375053259 Enrollment ID: I20250610001676 |
Futurebrain Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5240 W Lake Nokomis Pkwy, Minneapolis, MN 55417 Phone: 612-378-2363 Fax: 612-378-2363 | |
Phoenix Adolescent Outpatient Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 13th Ave Se, Minneapolis, MN 55414 Phone: 651-734-3268 Fax: 612-378-4886 | |
1-0 Granny's Helpful Hands, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 E Lake St, Minneapolis, MN 55407 Phone: 612-824-1177 | |
Community Empowerment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Washington Ave N, Minneapolis, MN 55401 Phone: 202-450-0351 | |
Kori Hennessy, Ma, Lmft Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 E 43rd St Ste 201, Minneapolis, MN 55409 Phone: 763-342-0104 | |
Uptown Center For Psychotherapy Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3253 Humboldt Ave S, Minneapolis, MN 55408 Phone: 920-277-7923 | |
Hennepin County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Chicago Ave Ste 100, Minneapolis, MN 55404 Phone: 612-879-3115 |