| The Jonas Center, Inc. | |
|
107 Paul Ave N Cologne MN 55322-9330 | |
| (612) 201-6654 | |
| (320) 864-6130 |
| Full Name | The Jonas Center, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 107 Paul Ave N, Cologne, Minnesota |
| Authorized Official Name and Position | James M Jonas (PRESIDENT) |
| Authorized Official Contact | 6122016654 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Jonas Center, Inc. 107 Paul Ave N Cologne MN 55322-9330 Ph: (612) 201-6654 | The Jonas Center, Inc. 107 Paul Ave N Cologne MN 55322-9330 Ph: (612) 201-6654 |
| NPI Number | 1396837415 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 08/28/2007 |
| Medicare PECOS PAC ID | 5890888556 |
|---|---|
| Medicare Enrollment ID | O20070911000688 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396837415 | NPI | - | NPPES |
| 5145252 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 660 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 4353 (Minnesota) | Primary |
| Provider Name | James Mark Jonas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174607519 PECOS PAC ID: 0749226363 Enrollment ID: I20050706000283 |
| Provider Name | Douglas G Frey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649317413 PECOS PAC ID: 8123184553 Enrollment ID: I20090310000036 |
| Provider Name | Joy A Vivian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053657833 PECOS PAC ID: 3779720552 Enrollment ID: I20130515000296 |
| Provider Name | Katherine K Jonas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326689225 PECOS PAC ID: 0749607323 Enrollment ID: I20200827001401 |
| Provider Name | Shawna Martin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1720471832 PECOS PAC ID: 5193164234 Enrollment ID: I20240422002381 |
| Provider Name | Synnove Nieuwenhuis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659622561 PECOS PAC ID: 1153760129 Enrollment ID: I20240424000362 |
| Provider Name | Torri Hassenger Erickson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164730958 PECOS PAC ID: 9537509203 Enrollment ID: I20240429000468 |
| Provider Name | Katie Elizabeth Leuning-pavek |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942638481 PECOS PAC ID: 3476993098 Enrollment ID: I20240430002850 |
| Provider Name | Christine Chapman Paulson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003987215 PECOS PAC ID: 8123469822 Enrollment ID: I20240513001741 |
| Provider Name | Anna Borell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659130615 PECOS PAC ID: 2264874106 Enrollment ID: I20240523003341 |
Growth Edge Therapy Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13830 County Road 43, Cologne, MN 55322 Phone: 952-250-2663 |