Mankato Mental Health Associates, PA

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LP3697 Issued in MN

Legal business name

MANKATO MENTAL HEALTH ASSOCIATES, PA

Practice address

209 S Broad St
Suite C
Mankato, MN 56001-3681

Phone

(507) 345-4448

Fax

(507) 625-1000

NPI assigned

Sep 11, 2008

Last updated

Sep 11, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Dawn Marie Ulrich, L.P.

Title

Director/President/Ceo

Phone

(507) 345-4448

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katarina Barrett-Krzmarzick, MSW, LICSW

  • Clinical Social Worker
  • Mankato, MN
  • NPI 1275173445
  Medicare reassignment NPD
• George Whitney Clements, MSW

  • Clinical Social Worker
  • Mankato, MN
  • NPI 1194870881
  Medicare reassignment NPD
• Marlae Robin Cox-Kolek, MS, LADC, LPC

  • Addiction (Substance Use Disorder) Counselor
  • Mankato, MN
  • NPI 1285798611
  Medicare reassignment NPD
• Paul Matson

  • Family Nurse Practitioner
  • Mankato, MN
  • NPI 1235678954
  Medicare reassignment NPD
• Katie Marie Stadheim, MSW, LICSW

  • Clinical Social Worker
  • Saint Peter, MN
  • NPI 1376936047
  Medicare reassignment NPD
• Jacquelin Ann Tohal, LICSW

  • Clinical Social Worker
  • Mankato, MN
  • NPI 1659837847
  Medicare reassignment NPD
• Laura Christine Schultz

  • Clinical Social Worker
  • Saint Peter, MN
  • NPI 1699453084
  NPD
• Dawn Marie Ulrich-Spitzer, LP

  • Psychologist
  • Mankato, MN
  • NPI 1346304169
  NPD
• Rochelle Ann Rheingans, LPCC

  • Mental Health Counselor
  • Wells, MN
  • NPI 1588067540
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1083863245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S BROAD ST",
            "address_2": "SUITE C",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013681",
            "telephone_number": "507-345-4448",
            "fax_number": "507-625-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S BROAD ST",
            "address_2": "SUITE C",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013681",
            "telephone_number": "507-345-4448",
            "fax_number": "507-625-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANKATO MENTAL HEALTH ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "ULRICH",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR/PRESIDENT/CEO",
        "authorized_official_telephone_number": "507-345-4448",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.P."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "LP3697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "602022400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mankato Family Dental, P.a.
• Mankato Full Spectrum ABA
• Mankato Institute of Wellness (Minnesota Institue of Wellness)
• Mankato Institute of Wellness
• Mankato Marriage and Family Therapy Center PLC
• Mankato Ops LLC (Keystone Mankato)
• Mankato Optical Inc (Eye Q Vision)
• Mankato Psychology Clinic, PLC
• Mankato Rehabilitation Center, Inc. (Dba: Mrci)
• Mankato Surgical Center, L.L.C. (Mankato Surgery Center)

• Community/Behavioral Health Agency in Mankato, MN
• Providers in Mankato, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.