Transformation House Inc
A Medicare group practice based in Anoka, MN: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 1850750696), with 12 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1850750696
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- MN
- Enrollments
- 1
- Group size
- 5 clinicians
- Medicare assignment
- May accept Medicare assignment
- Practice locations
- 3
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20230711002876 | MN | Part B Supplier - Clinic/Group Practice | 1417768771 |
NPIs in this group 5
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Transformation House Inc
- Mental Health Counselor
- Anoka, MN
- NPI 1417768771
-
Transformation House, Inc.
- Substance Abuse Rehabilitation Facility
- Anoka, MN
- NPI 1114143989
-
Transformation House, Inc.
- Substance Abuse Rehabilitation Facility
- Fridley, MN
- NPI 1376950469
-
Transformation House, Inc.
- Substance Abuse Rehabilitation Facility
- Fridley, MN
- NPI 1508081506
-
Transformation House, Inc.
- Substance Abuse Rehabilitation Facility
- Anoka, MN
- NPI 1770708125
Practice locations
- Anoka, MN2
- Fridley, MN1
Clinicians 12
Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (5).
-
Shirley Rae Butcher, LPCC, LADC
- Mental Health Counselor
- Saint Paul, MN
- NPI 1891034120
-
Joy Hanna Cloutier, PHMNP
- Psychiatric/Mental Health Nurse Practitioner
- Andover, MN
- NPI 1124882519
-
Patrick Waide Dixon, APNP
- Psychiatric/Mental Health Nurse Practitioner
- Anoka, MN
- NPI 1417308313
-
Roxanne Jo Dobrava, MSN, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Hutchinson, MN
- NPI 1336700491
-
Elizabeth Ann Forrest, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Anoka, MN
- NPI 1598589947
-
Katharine Gelecinskyj
- Mental Health Counselor
- Bloomington, MN
- NPI 1912622440
-
Vincent Jigbeh Jaryan, CNP
- Psychiatry Physician
- Richfield, MN
- NPI 1114807104
-
Azie Judith Khan
- Psychiatric/Mental Health Nurse Practitioner
- Forest Lake, MN
- NPI 1265012629
-
Jennifer Krebsbach
- Psychiatric/Mental Health Nurse Practitioner
- Saint Cloud, MN
- NPI 1790494102
-
Cindy Strege Morey, PSYD
- Psychologist
- Saint Paul, MN
- NPI 1023075967
-
Christina Renee Richardson, APRN, FNP-BC
- Family Nurse Practitioner
- Northfield, MN
- NPI 1336803691
-
Nicole Salami, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Ramsey, MN
- NPI 1487438321
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.