| Mosaic Therapy Group | |
|
4600 77th St W Ste 370 Edina MN 55435-4912 | |
| (612) 464-1400 | |
| (612) 315-6001 |
| Full Name | Mosaic Therapy Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 4600 77th St W Ste 370, Edina, Minnesota |
| Authorized Official Name and Position | Naomi Joy Schwenke (OWNER) |
| Authorized Official Contact | 6124641400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Therapy Group 4600 77th St W Ste 370 Edina MN 55435-4912 Ph: (612) 464-1400 | Mosaic Therapy Group 4600 77th St W Ste 370 Edina MN 55435-4912 Ph: (612) 464-1400 |
| NPI Number | 1679167126 |
|---|---|
| Provider Enumeration Date | 02/25/2021 |
| Last Update Date | 03/18/2026 |
| Certification Date | 03/18/2026 |
| Medicare PECOS PAC ID | 7810427986 |
|---|---|
| Medicare Enrollment ID | O20250205002591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679167126 | NPI | - | NPPES |
| Provider Name | David Adair |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508459462 PECOS PAC ID: 0547611634 Enrollment ID: I20240112003915 |
| Provider Name | Naomi Joy Schwenke |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912142712 PECOS PAC ID: 8729518899 Enrollment ID: I20250205002689 |
| Provider Name | Melanie Waller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962098236 PECOS PAC ID: 0547769812 Enrollment ID: I20250815000200 |
| Provider Name | Victoria Peterson-hilleque |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962381624 PECOS PAC ID: 8921596891 Enrollment ID: I20251022003138 |
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