| The Emily Program | |
|
2265 Como Avenue Suite 100 St Paul MN 55108 | |
| (866) 364-5977 | |
| (651) 647-5135 |
| Full Name | The Emily Program |
|---|---|
| Speciality | Clinic/Center |
| Location | 2265 Como Avenue, St Paul, Minnesota |
| Authorized Official Name and Position | Meredith Trudgeon (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8883645977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Emily Program 2355 Highway 36 W Ste 202 Roseville MN 55113-3902 Ph: (888) 364-5977 | The Emily Program 2265 Como Avenue Suite 100 St Paul MN 55108 Ph: (866) 364-5977 |
| NPI Number | 1528165065 |
|---|---|
| Provider Enumeration Date | 09/19/2006 |
| Last Update Date | 06/18/2026 |
| Certification Date | 06/18/2026 |
| Medicare PECOS PAC ID | 5193623254 |
|---|---|
| Medicare Enrollment ID | O20031229000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528165065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
| 251S00000X | Community/behavioral Health | () | Secondary |
| Provider Name | Mary B Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184746133 PECOS PAC ID: 5294799235 Enrollment ID: I20041118000555 |
| Provider Name | Colette C Kuhn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023195443 PECOS PAC ID: 7517903792 Enrollment ID: I20050629000064 |
| Provider Name | Jennifer Lynn Lees |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558430041 PECOS PAC ID: 2769412766 Enrollment ID: I20050819000047 |
| Provider Name | Susan E Swigart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740343151 PECOS PAC ID: 8325070733 Enrollment ID: I20050907000412 |
| Provider Name | Carmen J Jacobson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063510550 PECOS PAC ID: 9436181674 Enrollment ID: I20050908000382 |
| Provider Name | Courtney a Cannon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487678124 PECOS PAC ID: 6800816588 Enrollment ID: I20051221000879 |
| Provider Name | Gina S Dahlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235109356 PECOS PAC ID: 6002838729 Enrollment ID: I20051222000150 |
| Provider Name | Kathryn M Christensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790867315 PECOS PAC ID: 5991715005 Enrollment ID: I20060503000253 |
| Provider Name | Angela E Scott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386696110 PECOS PAC ID: 5890706311 Enrollment ID: I20060518000079 |
| Provider Name | Ingrid E Bjerknes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871607515 PECOS PAC ID: 2163426081 Enrollment ID: I20060908000031 |
| Provider Name | Hoinu T Bunce |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336151307 PECOS PAC ID: 6002918687 Enrollment ID: I20070228000452 |
| Provider Name | Jessica L Welch |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528184652 PECOS PAC ID: 5294813200 Enrollment ID: I20080416000268 |
| Provider Name | Michael a Donndelinger-beldon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740329234 PECOS PAC ID: 4082771084 Enrollment ID: I20090318000466 |
| Provider Name | Katherine a Wolden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255560553 PECOS PAC ID: 2860546348 Enrollment ID: I20090917000351 |
| Provider Name | Mary C Bretzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760449771 PECOS PAC ID: 2365575040 Enrollment ID: I20100802000405 |
| Provider Name | Cassandra M Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104050186 PECOS PAC ID: 1456533348 Enrollment ID: I20110314001071 |
| Provider Name | Vanessa R Rempel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427364355 PECOS PAC ID: 7214112630 Enrollment ID: I20110429000180 |
| Provider Name | Anthony C Kalscheur |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942596846 PECOS PAC ID: 8022288208 Enrollment ID: I20110825000370 |
| Provider Name | Dirk a Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497824981 PECOS PAC ID: 2466350525 Enrollment ID: I20120109000257 |
| Provider Name | Rebecca K Neeck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659655884 PECOS PAC ID: 2163698382 Enrollment ID: I20120110000112 |
| Provider Name | Shannon M Odonnell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053483453 PECOS PAC ID: 2668649633 Enrollment ID: I20120113000423 |
| Provider Name | Amy S Hilburger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023389186 PECOS PAC ID: 2769643006 Enrollment ID: I20120413000492 |
| Provider Name | Amanda N Delsman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336402098 PECOS PAC ID: 2365608148 Enrollment ID: I20120723000819 |
| Provider Name | Ryan J Sorensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669711495 PECOS PAC ID: 4082850797 Enrollment ID: I20130425000550 |
| Provider Name | Aimee JS Arikian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477990570 PECOS PAC ID: 4981844404 Enrollment ID: I20130705000371 |
| Provider Name | Jennifer B Beldon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336292390 PECOS PAC ID: 2062641566 Enrollment ID: I20140203001360 |
| Provider Name | Natalie R Zwak |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437559051 PECOS PAC ID: 1153541479 Enrollment ID: I20141008000259 |
| Provider Name | Kathryn R Brush |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972909760 PECOS PAC ID: 5395060461 Enrollment ID: I20150212000493 |
| Provider Name | Hillary B Syman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851302525 PECOS PAC ID: 0244200772 Enrollment ID: I20151021001830 |
| Provider Name | Lauren Kathryn Silberstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154724318 PECOS PAC ID: 6002132594 Enrollment ID: I20160225002576 |
| Provider Name | Jacqueline H Hicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730545047 PECOS PAC ID: 8628375672 Enrollment ID: I20160318001211 |
| Provider Name | Anne C Savat |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649641044 PECOS PAC ID: 9638476872 Enrollment ID: I20160401001150 |
| Provider Name | Patricia Ann Stensgard |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295053841 PECOS PAC ID: 4587962253 Enrollment ID: I20160413000495 |
| Provider Name | Brittan J Donohoe |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538531165 PECOS PAC ID: 0648578328 Enrollment ID: I20160413000590 |
| Provider Name | Amy J Patefield |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215971213 PECOS PAC ID: 4082912712 Enrollment ID: I20160414000000 |
| Provider Name | Tyann N Zeal |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023480712 PECOS PAC ID: 5193024297 Enrollment ID: I20160425000188 |
| Provider Name | Diane M Rubright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942518873 PECOS PAC ID: 5799973210 Enrollment ID: I20160519000892 |
| Provider Name | Jillian T Tholen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679923957 PECOS PAC ID: 1355635699 Enrollment ID: I20160809000725 |
| Provider Name | Melanie a Sobolewski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447603667 PECOS PAC ID: 9931494622 Enrollment ID: I20160819000547 |
| Provider Name | Julie a Alsum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811444136 PECOS PAC ID: 0446547731 Enrollment ID: I20160930000692 |
| Provider Name | Cameron B Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336682640 PECOS PAC ID: 0648551325 Enrollment ID: I20170112000265 |
| Provider Name | Regina E Nett |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255870622 PECOS PAC ID: 4587949516 Enrollment ID: I20170314001060 |
| Provider Name | Sigrid Mae Casey Avenido |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528452935 PECOS PAC ID: 3274852942 Enrollment ID: I20171108003246 |
| Provider Name | Mary a Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366940512 PECOS PAC ID: 0648531608 Enrollment ID: I20180308000362 |
| Provider Name | Mackenzie B Dougherty |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053612283 PECOS PAC ID: 9436335056 Enrollment ID: I20180418001422 |
| Provider Name | Christina Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962908160 PECOS PAC ID: 7416206339 Enrollment ID: I20180824002380 |
| Provider Name | Morgan Christine Klug |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760973408 PECOS PAC ID: 9335499060 Enrollment ID: I20180830001001 |
| Provider Name | Leah L Duncan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528570181 PECOS PAC ID: 2961752498 Enrollment ID: I20180905000105 |
| Provider Name | Jennifer L Wolf |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104304245 PECOS PAC ID: 9234482993 Enrollment ID: I20181025001962 |
| Provider Name | Michael Stephen Butchko |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386166353 PECOS PAC ID: 7012261449 Enrollment ID: I20181121000457 |
| Provider Name | Deborah Jean Garrido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184191116 PECOS PAC ID: 6709121437 Enrollment ID: I20181227000325 |
| Provider Name | Madeline Rene Glazos |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316410624 PECOS PAC ID: 9032457296 Enrollment ID: I20190213001404 |
| Provider Name | Claire Rustad Welo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124453899 PECOS PAC ID: 1850526294 Enrollment ID: I20190418001102 |
| Provider Name | Jessica Marion Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457914160 PECOS PAC ID: 7315274164 Enrollment ID: I20190816000773 |
| Provider Name | Alexandra Pokorny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962054437 PECOS PAC ID: 3274863360 Enrollment ID: I20191003000835 |
| Provider Name | Taylor Rae Lawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316506637 PECOS PAC ID: 9537595186 Enrollment ID: I20200130001925 |
| Provider Name | Jessica Marie Lind |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902335359 PECOS PAC ID: 3375811052 Enrollment ID: I20200225001236 |
| Provider Name | Margaret Ann Ramsay |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881119014 PECOS PAC ID: 1153696232 Enrollment ID: I20200313000300 |
| Provider Name | Anna Catherine Bishop |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053920041 PECOS PAC ID: 2567872799 Enrollment ID: I20201029001134 |
| Provider Name | Christine Namaste Curran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164696928 PECOS PAC ID: 1951712751 Enrollment ID: I20201130002879 |
| Provider Name | Lauren Elizabeth Moody |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750941423 PECOS PAC ID: 3678984341 Enrollment ID: I20201201002836 |
| Provider Name | Taiya Brown |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558968172 PECOS PAC ID: 5698181204 Enrollment ID: I20210305001703 |
| Provider Name | Shoshannah Rose Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205413994 PECOS PAC ID: 9032527387 Enrollment ID: I20210426002536 |
| Provider Name | Courtney Lee Tate |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164014122 PECOS PAC ID: 9739598350 Enrollment ID: I20210512001728 |
| Provider Name | Charlotte Ann Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063999472 PECOS PAC ID: 9537568746 Enrollment ID: I20210520000595 |
| Provider Name | Erica Madeline Finneseth |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427631233 PECOS PAC ID: 6608270491 Enrollment ID: I20210731000385 |
| Provider Name | Wendy Janelle Kunde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376216846 PECOS PAC ID: 5294133294 Enrollment ID: I20211005003022 |
| Provider Name | Mckenzie Jo Young |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679119341 PECOS PAC ID: 0345631701 Enrollment ID: I20211220002167 |
| Provider Name | Amanda Jo Falkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902578636 PECOS PAC ID: 8426449794 Enrollment ID: I20211221000277 |
| Provider Name | Joseph Peter Blakeslee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447923537 PECOS PAC ID: 2264824598 Enrollment ID: I20220119001670 |
| Provider Name | Madeline Nicaela Emanuel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922676428 PECOS PAC ID: 6002208006 Enrollment ID: I20220125002798 |
| Provider Name | Emily Ingeborg Little |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104587203 PECOS PAC ID: 2163816646 Enrollment ID: I20220225002156 |
| Provider Name | Lindsey Brumm |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568110765 PECOS PAC ID: 5890181697 Enrollment ID: I20220404001942 |
| Provider Name | Christina Susanne Frye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881279768 PECOS PAC ID: 1951788967 Enrollment ID: I20220512002615 |
| Provider Name | Stefanie Kaitlyn Jensen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003556622 PECOS PAC ID: 9234516196 Enrollment ID: I20220513001916 |
| Provider Name | Maria Chrsitine Cauley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992460638 PECOS PAC ID: 4587044730 Enrollment ID: I20220705003070 |
| Provider Name | Amanda Rose Swenski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336899665 PECOS PAC ID: 6002298585 Enrollment ID: I20220729002793 |
| Provider Name | Natalie Greytak |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093470965 PECOS PAC ID: 3779966015 Enrollment ID: I20220818001697 |
| Provider Name | Addison Hope Reimer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194451328 PECOS PAC ID: 5294119418 Enrollment ID: I20220907000811 |
| Provider Name | Molly K Griffin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841910866 PECOS PAC ID: 3971989971 Enrollment ID: I20220928002277 |
| Provider Name | Jessica Anne Reiners |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215658075 PECOS PAC ID: 2466828934 Enrollment ID: I20221025001779 |
| Provider Name | Gabriella Rose Stumpf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396178240 PECOS PAC ID: 3971975921 Enrollment ID: I20230221001123 |
| Provider Name | Michaela Marie Brands |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134867856 PECOS PAC ID: 5698148302 Enrollment ID: I20230228002023 |
| Provider Name | Jesse Francis Valentin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477325454 PECOS PAC ID: 9537519293 Enrollment ID: I20231221002649 |
| Provider Name | Brittany Amber Raven |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265022008 PECOS PAC ID: 9032562491 Enrollment ID: I20240201001614 |
| Provider Name | Angela M Schaefer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609120146 PECOS PAC ID: 6002250289 Enrollment ID: I20240215001689 |
| Provider Name | Gabrielle Beadell Anderson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568866911 PECOS PAC ID: 3678917796 Enrollment ID: I20240216002081 |
| Provider Name | Andrew Charles Appel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568070811 PECOS PAC ID: 2961846001 Enrollment ID: I20240216002794 |
| Provider Name | Emily Michelle Plombon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972234003 PECOS PAC ID: 2264876317 Enrollment ID: I20240216003601 |
| Provider Name | Rebekah Jean Eller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588129506 PECOS PAC ID: 7719321769 Enrollment ID: I20240216003625 |
| Provider Name | Holly Louise Paradis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144692682 PECOS PAC ID: 2567806516 Enrollment ID: I20240216003996 |
| Provider Name | Jason Robert Mayer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790245306 PECOS PAC ID: 7911341920 Enrollment ID: I20240219000407 |
| Provider Name | Kate Jeaneanne Mctavish |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407332976 PECOS PAC ID: 5294179149 Enrollment ID: I20240219002322 |
| Provider Name | Martha Merced Muchlinski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801554894 PECOS PAC ID: 9234573148 Enrollment ID: I20240220000405 |
| Provider Name | Lauren Isabel Mast |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992274989 PECOS PAC ID: 9032553946 Enrollment ID: I20240220000454 |
| Provider Name | Laura Lynn Mackinnon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871142679 PECOS PAC ID: 8022452937 Enrollment ID: I20240220000487 |
| Provider Name | Sarah Joy Linde Mcclaren |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750766036 PECOS PAC ID: 8123462041 Enrollment ID: I20240220000893 |
| Provider Name | Nicole Marie Uchal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558614990 PECOS PAC ID: 6103260963 Enrollment ID: I20240220002482 |
| Provider Name | Michelle Lee Nast |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710463658 PECOS PAC ID: 3072957869 Enrollment ID: I20240220003871 |
| Provider Name | Scott Michael Wisgerhof |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467929760 PECOS PAC ID: 1850735515 Enrollment ID: I20240221001791 |
| Provider Name | Samra Lita Hickey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972260768 PECOS PAC ID: 7517301112 Enrollment ID: I20240222002277 |
| Provider Name | Anne Marie Markus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174022826 PECOS PAC ID: 6800230301 Enrollment ID: I20240222002572 |
| Provider Name | Victoria Lynn Frye |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063734663 PECOS PAC ID: 7113361635 Enrollment ID: I20240222003428 |
| Provider Name | Stacy Marie Russell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336344472 PECOS PAC ID: 6204270739 Enrollment ID: I20240222003771 |
| Provider Name | Stefan J Millea |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952980922 PECOS PAC ID: 1951746031 Enrollment ID: I20240228002716 |
| Provider Name | Amy Kathryn Barkley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962030759 PECOS PAC ID: 0941608913 Enrollment ID: I20240322000555 |
| Provider Name | Meghan Elizabeth Schmidt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740969807 PECOS PAC ID: 4789021965 Enrollment ID: I20240322004137 |
| Provider Name | Kristen Sue Johnson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306105606 PECOS PAC ID: 9133567852 Enrollment ID: I20240401001723 |
| Provider Name | Kari Smith |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306206354 PECOS PAC ID: 2264870401 Enrollment ID: I20240405002663 |
| Provider Name | Olivia Rose Ricelli |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184402349 PECOS PAC ID: 4789022948 Enrollment ID: I20240405003826 |
| Provider Name | Ashley Marie Sandholm |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558148890 PECOS PAC ID: 8022456284 Enrollment ID: I20240406000032 |
| Provider Name | Laine Cecily Hartwell Bermansohn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841641743 PECOS PAC ID: 9739529082 Enrollment ID: I20240502003779 |
| Provider Name | Hannah Elizabeth Dolezal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447976451 PECOS PAC ID: 2264974906 Enrollment ID: I20240610000358 |
| Provider Name | Theresa Elizabeth Lopez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1316604291 PECOS PAC ID: 8527503614 Enrollment ID: I20240712002876 |
| Provider Name | Candace Rae Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912638552 PECOS PAC ID: 9537605670 Enrollment ID: I20240724003598 |
| Provider Name | Alice Ann Samuel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497475933 PECOS PAC ID: 8325586035 Enrollment ID: I20240813002179 |
| Provider Name | Jessica Lynn Albers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265265078 PECOS PAC ID: 6608317284 Enrollment ID: I20240923003312 |
| Provider Name | Angela Therese Hasouris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508634379 PECOS PAC ID: 0749713691 Enrollment ID: I20241030002407 |
| Provider Name | Sarah Elizabeth Alness Olson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972388577 PECOS PAC ID: 1254867021 Enrollment ID: I20241204002369 |
| Provider Name | Alexandra Caterina Masciotti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881099513 PECOS PAC ID: 9133656853 Enrollment ID: I20241219001626 |
| Provider Name | Jamie Lee Fischer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871353458 PECOS PAC ID: 6002309812 Enrollment ID: I20251201002607 |
| Provider Name | Teresa M Pierson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588392211 PECOS PAC ID: 4486131711 Enrollment ID: I20260116002664 |
| Provider Name | Krista Leigh Nagel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073352944 PECOS PAC ID: 3779063169 Enrollment ID: I20260216000669 |
| Provider Name | Kathleenjo Marie Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972160133 PECOS PAC ID: 4981173580 Enrollment ID: I20260513000599 |
| Provider Name | Hannah Elizabeth Mcdaniel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962237149 PECOS PAC ID: 5496224370 Enrollment ID: I20260520002225 |
| Provider Name | Jessica Ann Pope |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932769767 PECOS PAC ID: 5991276578 Enrollment ID: I20260604001348 |
Allina Health Mental Health - United Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 Smith Ave N, Ste 450, St Paul, MN 55102 Phone: 651-241-5959 |
Awaken Recovery Center L.l.c Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Suite D 393 North Dunlap, St Paul, MN 55104 Phone: 763-331-2162 |
South Metro Human Services Dba Radias Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1435 Grand Ave, St Paul, MN 55105 Phone: 651-340-7939 Fax: 651-340-7951 |
James J Daurora PhD PA Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 91 N Snelling Avenue, Suite 200, St Paul, MN 55104 Phone: 651-644-2248 Fax: 651-641-1074 |
Humanist Psychotherapy Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2245 St Clair Av, St Paul, MN 55105 Phone: 651-278-4003 |
Childrens Hospitals and Clinics of Minnesota Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 North Smith Avenue, Childrens Specialty Clinic Psychological Services Stpl, St Paul, MN 55102 Phone: 651-220-6720 Fax: 651-220-6707 |