| Midwest Center For Personal & Family Development, P.a. | |
|
2550 University Ave W Suite 435s Saint Paul MN 55114-1052 | |
| (651) 647-1900 | |
| Not Available |
| Full Name | Midwest Center For Personal & Family Development, P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2550 University Ave W, Saint Paul, Minnesota |
| Authorized Official Name and Position | Timothy J Quesnell (OWNER) |
| Authorized Official Contact | 6516471900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Center For Personal & Family Development, P.a. 2550 University Ave W Suite 435s Saint Paul MN 55114-1052 Ph: (651) 647-1900 | Midwest Center For Personal & Family Development, P.a. 2550 University Ave W Suite 435s Saint Paul MN 55114-1052 Ph: (651) 647-1900 |
| NPI Number | 1285730903 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 08/31/2023 |
| Certification Date | 08/31/2023 |
| Medicare PECOS PAC ID | 3173436185 |
|---|---|
| Medicare Enrollment ID | O20031106000433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285730903 | NPI | - | NPPES |
| 844943100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Annette L Jacob |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174629869 PECOS PAC ID: 0941216717 Enrollment ID: I20060302000620 |
| Provider Name | Susan M Banal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629190814 PECOS PAC ID: 0446335251 Enrollment ID: I20080304000397 |
| Provider Name | Linda N Oakes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295840908 PECOS PAC ID: 4587708441 Enrollment ID: I20100216000990 |
| Provider Name | David M Brings |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427163252 PECOS PAC ID: 7810031697 Enrollment ID: I20100217000230 |
| Provider Name | Rachel R Cain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750448148 PECOS PAC ID: 0840467577 Enrollment ID: I20120120000866 |
| Provider Name | Dietrah C Hiatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689722985 PECOS PAC ID: 1052578895 Enrollment ID: I20120206000442 |
| Provider Name | Rebecca L Pihl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689901670 PECOS PAC ID: 4587816905 Enrollment ID: I20121212000065 |
| Provider Name | Brittany A Barkholtz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689280323 PECOS PAC ID: 7315357753 Enrollment ID: I20201113000990 |
| Provider Name | Agnes Jackai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891403135 PECOS PAC ID: 4486013653 Enrollment ID: I20231005003509 |
| Provider Name | Colleen Garry Marschall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447647797 PECOS PAC ID: 6507217031 Enrollment ID: I20240109004672 |
| Provider Name | Mary J Faustgen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790880821 PECOS PAC ID: 0648621003 Enrollment ID: I20240110001247 |
| Provider Name | Alison D Whiteaker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700405198 PECOS PAC ID: 5991156358 Enrollment ID: I20240110001340 |
| Provider Name | Kathryn M Weise |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114431376 PECOS PAC ID: 3870944960 Enrollment ID: I20240112003764 |
| Provider Name | Anne R Kunesh Carney |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487769394 PECOS PAC ID: 9931551645 Enrollment ID: I20240118001716 |
| Provider Name | Molly K Kehr |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336452283 PECOS PAC ID: 3870942485 Enrollment ID: I20240205000925 |
| Provider Name | Katherine L Schliesman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194282210 PECOS PAC ID: 3779926738 Enrollment ID: I20240206003833 |
| Provider Name | Kristy L Costello |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871989897 PECOS PAC ID: 1759733595 Enrollment ID: I20240216004430 |
| Provider Name | Marilyn J Olson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083719959 PECOS PAC ID: 9436595634 Enrollment ID: I20240311002574 |
Charles Mccafferty, Md, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 977 Summit Ave, Saint Paul, MN 55105 Phone: 651-227-6369 Fax: 651-227-9545 | |
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Therapy World Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 393 Dunlap St N Ste 861, Saint Paul, MN 55104 Phone: 651-347-8037 Fax: 651-340-4552 | |
Tanglefish Emotional Healing Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 Raymond Ave Ste 300, Saint Paul, MN 55114 Phone: 612-213-4510 Fax: 612-361-5464 | |
Harmony Mental Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2136 Ford Pkwy # 5609, Saint Paul, MN 55116 Phone: 651-273-9074 Fax: 651-240-6036 | |
Comfort Health Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2554 Como Ave Ste 6, Saint Paul, MN 55108 Phone: 651-363-6866 | |
Donna Johnson, Phd, Lp, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1595 Selby Ave, Suite 202, Saint Paul, MN 55104 Phone: 651-644-4930 Fax: 651-644-1095 |