| The Therapist | |
|
401 W Laurel St Ste C Brainerd MN 56401-3970 | |
| (218) 454-3288 | |
| (218) 461-3873 |
| Full Name | The Therapist |
|---|---|
| Speciality | Counselor |
| Location | 401 W Laurel St Ste C, Brainerd, Minnesota |
| Authorized Official Name and Position | Claribel Severson (OWNER/THERAPIST) |
| Authorized Official Contact | 2184543288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Therapist 401 W Laurel St Ste C Brainerd MN 56401-3970 Ph: (218) 454-3288 | The Therapist 401 W Laurel St Ste C Brainerd MN 56401-3970 Ph: (218) 454-3288 |
| NPI Number | 1093263113 |
|---|---|
| Provider Enumeration Date | 09/19/2016 |
| Last Update Date | 03/03/2021 |
| Certification Date | 02/16/2021 |
| Medicare PECOS PAC ID | 7618383951 |
|---|---|
| Medicare Enrollment ID | O20210310002167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093263113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1304 (Minnesota) | Primary |
| Provider Name | Andrea L Dalzell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578076154 PECOS PAC ID: 5395003222 Enrollment ID: I20171221002021 |
| Provider Name | Teresia Ann Mortenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811775968 PECOS PAC ID: 0749625945 Enrollment ID: I20240227004132 |
| Provider Name | Claribel Severson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124498084 PECOS PAC ID: 0345656682 Enrollment ID: I20241029004196 |
| Provider Name | Megan Kay Mueller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689020752 PECOS PAC ID: 4981139235 Enrollment ID: I20241122001363 |
| Provider Name | Breanna Shellum |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1538570049 PECOS PAC ID: 4082149372 Enrollment ID: I20241122003388 |
| Provider Name | Sharon Lois Greenberger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679959068 PECOS PAC ID: 5496280216 Enrollment ID: I20241203000446 |
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