| Pride Counseling Services Pllc | |
|
110 E Walnut St Mankato MN 56001-3655 | |
| (507) 246-2667 | |
| (507) 514-0999 |
| Full Name | Pride Counseling Services Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 110 E Walnut St, Mankato, Minnesota |
| Authorized Official Name and Position | Jennifer O Kolstad (OWNER) |
| Authorized Official Contact | 5072462667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pride Counseling Services Pllc 110 E Walnut St Mankato MN 56001-3655 Ph: (507) 246-2667 | Pride Counseling Services Pllc 110 E Walnut St Mankato MN 56001-3655 Ph: (507) 246-2667 |
| NPI Number | 1417548587 |
|---|---|
| Provider Enumeration Date | 02/01/2021 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Medicare PECOS PAC ID | 5092100842 |
|---|---|
| Medicare Enrollment ID | O20220315001315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417548587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jennifer Oline Kolstad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336647106 PECOS PAC ID: 7719372564 Enrollment ID: I20220315001440 |
| Provider Name | Gykayla Quinn Curtis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790368256 PECOS PAC ID: 8820449424 Enrollment ID: I20240108005803 |
| Provider Name | Amy Burkholder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851784722 PECOS PAC ID: 5092167353 Enrollment ID: I20240123000879 |
| Provider Name | Gabrielle Elizabeth Sichmeller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275143091 PECOS PAC ID: 7214463462 Enrollment ID: I20241224000986 |
Encompass Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 W 6th St, Mankato, MN 56001 Phone: 507-217-9491 | |
Mankato Rehabilitation Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1750 Energy Drive, Mankato, MN 56001 Phone: 507-386-5600 Fax: 507-386-5795 | |
Evolving Perspective Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Warren St, Mankato, MN 56001 Phone: 507-320-9060 | |
Mankato Mental Health Associates, Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 209 S Broad St, Suite C, Mankato, MN 56001 Phone: 507-345-4448 Fax: 507-625-1000 | |
Minnesota State Colleges & Universities Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Warren St Ste 6, Mankato, MN 56001 Phone: 507-389-1443 | |
Cedar & Ivy Counseling Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 816 S Front St, Mankato, MN 56001 Phone: 612-354-6463 Fax: 866-635-3417 | |
Willow Pathways Therapeutic Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 881 Madison Ave, Mankato, MN 56001 Phone: 507-225-0450 Fax: 507-779-7182 |