| Serenity Circle Counseling | |
|
201 Main Street W Isanti MN 55040-5504 | |
| (763) 600-2911 | |
| (763) 244-1243 |
| Full Name | Serenity Circle Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 Main Street W, Isanti, Minnesota |
| Authorized Official Name and Position | Deanna Lea Bunes (OWNER) |
| Authorized Official Contact | 7636002911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Circle Counseling Po Box 23 Isanti MN 55040-0023 Ph: (763) 600-2911 | Serenity Circle Counseling 201 Main Street W Isanti MN 55040-5504 Ph: (763) 600-2911 |
| NPI Number | 1366766206 |
|---|---|
| Provider Enumeration Date | 03/22/2010 |
| Last Update Date | 11/22/2023 |
| Certification Date | 11/22/2023 |
| Medicare PECOS PAC ID | 9638552813 |
|---|---|
| Medicare Enrollment ID | O20220822000802 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366766206 | NPI | - | NPPES |
| 682645300 | Medicaid | MN | |
| 444428200 | Medicaid | MN |
| Provider Name | Sean J Fields |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730652173 PECOS PAC ID: 7517209349 Enrollment ID: I20190429000063 |
| Provider Name | Trey Jensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417320904 PECOS PAC ID: 7618342221 Enrollment ID: I20230428002079 |
| Provider Name | William Joseph Sieben |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659150845 PECOS PAC ID: 1850741901 Enrollment ID: I20240102001976 |
| Provider Name | Ashley Victoria Bradt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245722172 PECOS PAC ID: 4587015979 Enrollment ID: I20240110002303 |
| Provider Name | Malaurie Kathlynn Bluhm |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114585932 PECOS PAC ID: 3072964469 Enrollment ID: I20240110002511 |
| Provider Name | Traci Ann Page |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346659307 PECOS PAC ID: 9032540059 Enrollment ID: I20240110002604 |
| Provider Name | Rachel Marie Meyer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639423221 PECOS PAC ID: 2466803770 Enrollment ID: I20240111001941 |
| Provider Name | Carol Ann Dobson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831611979 PECOS PAC ID: 6800247024 Enrollment ID: I20240111002470 |
| Provider Name | Jennifer Robin Buchan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619279700 PECOS PAC ID: 3971955915 Enrollment ID: I20240116001739 |
| Provider Name | Deanna Lea Austin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831328723 PECOS PAC ID: 5092198275 Enrollment ID: I20240202000274 |
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