Adult, Child & Family Services, LLC
Organization Active NPI Psychologist · Mankato, MN
NPI 1902806045 · NPPES record last updated Jul 21, 2026
Key facts
- NPI
- 1902806045
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- Legal business name
- ADULT, CHILD & FAMILY SERVICES, LLC
- Practice address
- 830 N Broad St Ste 300
Mankato, MN 56001-3394 - Phone
- (507) 387-3777
- Fax
- (507) 344-1726
- NPI assigned
- Jul 29, 2005
- Organization subpart
- No
Authorized official
- Name
- Jessica Marie Shouler, LMFT
- Title
- Owner
- Phone
- (507) 387-3777
Practitioners 44
-
Lora Ruth Bagur, LICSW
-
Jessica Marie Shouler, MS, LMFT
-
Taylor Marie Ernste, LGSW
-
Michele J. Larson, MSW, LICSW
-
Erin Lee Visker, MS, NCC
-
Nicole Bell, MS, LPCC
-
Jessica Kaye Holland, MSW, LGSW
-
Nicole Lynne Loher, MS, NCC
-
Lindsay Murn, PHD, LP
-
Ivy Renae Olson, MS
-
Thad Matthew Shunkwiler, LMFT
-
Kimberly Turner, PH.D., L.P.
-
Mark Ryan Giebel, D.C.
-
Paul Gronneberg, M.A., L.P.
-
Marinda S Kimmel, LMFT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070717000152 | MN | Part B Supplier - Clinic/Group Practice | 3476653684 |
Receives reassigned benefits from 6 practitioners Practice locations: Mankato, MN |
National Provider Directory
Locations
1400 Madison Ave
Ste 610
Mankato, MN 56001
Phone (507) 387-3777
125 Saint Andrews Ct
Ste 204
Mankato, MN 56001
Phone (507) 387-3777
830 N Broad St
Ste 300
Mankato, MN 56001
730 S Front St
Mankato, MN 56001
Phone (507) 387-3777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | MN | Yes |
Addresses
Primary practice location
830 N Broad St Ste 300
Mankato, MN 56001-3394
Mailing address
830 N Broad St Ste 300
Mankato, MN 56001-3394
Phone (507) 387-3777
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39P46AD | Other | MN | BLUE CROSS BLUE SHIELD |
| 08D47AD | Other | MN | BLUE CROSS BLUE SHIELD |
| 131689 | Other | MN | UCARE |
| 002289600 | Medicaid | MN | |
| 839219600 | Medicaid | MN | |
| 64Q88AD | Other | MN | BLUE CROSS BLUE SHIELD |
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.