| Northeast Youth & Family Services | |
|
3490 Lexington Ave N Suite 205 Shoreview MN 55126-8074 | |
| (651) 486-3808 | |
| (651) 486-3858 |
| Full Name | Northeast Youth & Family Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 3490 Lexington Ave N, Shoreview, Minnesota |
| Authorized Official Name and Position | Angela K Lewis-dmello (LICSW) |
| Authorized Official Contact | 6513793404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Youth & Family Services 3490 Lexington Ave N Ste 205 Shoreview MN 55126-8044 Ph: (651) 486-3808 | Northeast Youth & Family Services 3490 Lexington Ave N Suite 205 Shoreview MN 55126-8074 Ph: (651) 486-3808 |
| NPI Number | 1639275852 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 01/20/2026 |
| Certification Date | 01/20/2026 |
| Medicare PECOS PAC ID | 6709788839 |
|---|---|
| Medicare Enrollment ID | O20040121000261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639275852 | NPI | - | NPPES |
| 355355800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Anupama Chauhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548345655 PECOS PAC ID: 1052364783 Enrollment ID: I20050223000040 |
| 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 | Steven Richard Lutes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639702145 PECOS PAC ID: 4284045709 Enrollment ID: I20201204000074 |
| Provider Name | Jill Marie Buckingham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235295148 PECOS PAC ID: 6709297229 Enrollment ID: I20201204000197 |
| Provider Name | Emily Clements |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1881334712 PECOS PAC ID: 3577940642 Enrollment ID: I20220510002337 |
| Provider Name | Jocelyn Rose Thoemke |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326578360 PECOS PAC ID: 3476084500 Enrollment ID: I20241001000807 |
Veritas Counseling Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 470 Highway 96 W Ste 260, Shoreview, MN 55126 Phone: 651-237-3767 | |
Elaine K Johnson Ma Lp Ladc Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 521 Tanglewood Dr, Shoreview, MN 55126 Phone: 612-801-5826 Fax: 651-490-5215 | |
Pathway Virtu-health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4570 Churchill St Ste 140, Shoreview, MN 55126 Phone: 612-517-1293 Fax: 612-349-2790 | |
Keystone Counseling And Consulting Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4700 Lexington Ave N Ste B, Shoreview, MN 55126 Phone: 651-421-0815 | |
Woodcrest Counseling, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 Tanglewood Dr, Shoreview, MN 55126 Phone: 763-753-1785 Fax: 763-753-1753 | |
Stephanie A Johnson Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3550 Lexington Ave N Ste 207, Shoreview, MN 55126 Phone: 651-354-1443 | |
Outreach Counseling & Consulting Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3570 Lexington Ave N, Suite 100, Shoreview, MN 55126 Phone: 651-481-0664 Fax: 651-481-3907 |