| Mears Psychological Llc | |
|
10567 165th St W Lakeville MN 55044-3523 | |
| (952) 767-9374 | |
| Not Available |
| Full Name | Mears Psychological Llc |
|---|---|
| Speciality | Psychologist |
| Location | 10567 165th St W, Lakeville, Minnesota |
| Authorized Official Name and Position | Joshua Timothy Mears (OWNER) |
| Authorized Official Contact | 9527679376 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mears Psychological Llc 10567 165th St W Lakeville MN 55044-3523 Ph: (952) 767-9374 | Mears Psychological Llc 10567 165th St W Lakeville MN 55044-3523 Ph: (952) 767-9374 |
| NPI Number | 1881333946 |
|---|---|
| Provider Enumeration Date | 05/27/2022 |
| Last Update Date | 09/03/2025 |
| Certification Date | 09/03/2025 |
| Medicare PECOS PAC ID | 3971971284 |
|---|---|
| Medicare Enrollment ID | O20221117001468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881333946 | NPI | - | NPPES |
| 1790062438 | Medicaid | MN |
| Provider Name | Joshua T Mears |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790062438 PECOS PAC ID: 4082853866 Enrollment ID: I20130627000346 |
| 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 | Katelyn M Bolte |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700340171 PECOS PAC ID: 5496105538 Enrollment ID: I20240102001617 |
| Provider Name | Deneal Marie Sperle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114551728 PECOS PAC ID: 7113437211 Enrollment ID: I20250609000731 |
| Provider Name | Taylor Marie Montbriand |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639784507 PECOS PAC ID: 0941710990 Enrollment ID: I20250609002163 |
| Provider Name | Katelyn R Ottum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255834123 PECOS PAC ID: 7214447234 Enrollment ID: I20250610000101 |
| Provider Name | Madeline Raye Simonson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427513928 PECOS PAC ID: 5799295309 Enrollment ID: I20250611002757 |
| Provider Name | Heather Leann Wegner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003281536 PECOS PAC ID: 5294245833 Enrollment ID: I20250611003172 |
| Provider Name | Taylor Heath |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548779192 PECOS PAC ID: 3971013418 Enrollment ID: I20250612001159 |
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