| Regroup Counseling And Consulting Psc | |
|
18336 Joplin St Nw Elk River MN 55330-1773 | |
| (763) 350-9687 | |
| (651) 447-5394 |
| Full Name | Regroup Counseling And Consulting Psc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 18336 Joplin St Nw, Elk River, Minnesota |
| Authorized Official Name and Position | Tia M Dvorak (OWNER THERAPIST) |
| Authorized Official Contact | 7633509687 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regroup Counseling And Consulting Psc 586 Dodge Ave Nw Ste B Elk River MN 55330-1913 Ph: (763) 350-9687 | Regroup Counseling And Consulting Psc 18336 Joplin St Nw Elk River MN 55330-1773 Ph: (763) 350-9687 |
| NPI Number | 1194298026 |
|---|---|
| Provider Enumeration Date | 01/03/2019 |
| Last Update Date | 02/25/2025 |
| Certification Date | 02/25/2025 |
| Medicare PECOS PAC ID | 0648689042 |
|---|---|
| Medicare Enrollment ID | O20210517000423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194298026 | NPI | - | NPPES |
| 1194298026 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | April Ann Hegdahl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720597487 PECOS PAC ID: 4789932823 Enrollment ID: I20180806001127 |
| Provider Name | Denae Reanne Kuenzel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033446331 PECOS PAC ID: 2860520129 Enrollment ID: I20200227002723 |
| Provider Name | Chelsey R Paulson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891308813 PECOS PAC ID: 6305250317 Enrollment ID: I20210203001769 |
| Provider Name | Sarah Hamlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033873047 PECOS PAC ID: 1759773807 Enrollment ID: I20220121001490 |
| Provider Name | Kelsey Elaine Larson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669190807 PECOS PAC ID: 2264879600 Enrollment ID: I20240321001841 |
| Provider Name | Tia Dvorak |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912383969 PECOS PAC ID: 7012326325 Enrollment ID: I20240321003014 |
| Provider Name | Maura Scout Freshour |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588434328 PECOS PAC ID: 8325485600 Enrollment ID: I20240321003710 |
| Provider Name | Therese Rose Meyer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932493384 PECOS PAC ID: 5496158230 Enrollment ID: I20240416003775 |
| Provider Name | Rachel D Harris |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386471266 PECOS PAC ID: 0446770952 Enrollment ID: I20250226003089 |
| Provider Name | Alyssa Catherine Wentworth |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1023879996 PECOS PAC ID: 1052832987 Enrollment ID: I20250307003462 |
| Provider Name | Serein Tomlinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891565917 PECOS PAC ID: 7618499062 Enrollment ID: I20250314003104 |
| Provider Name | Katherine Roguske |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457079345 PECOS PAC ID: 6002338308 Enrollment ID: I20250317000587 |
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