PCC, INC (NPI# 1023234168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023234168 |
Entity Type | Organization |
Organization Name | PCC, INC |
Other Organization Name | PROFESSIONAL COUNSELING CENTER OF BUFFALO |
Practice Address |
7 Hwy 55 West Buffalo MN 55313 |
Mailing Address |
620 Babcock Blvd E Po Box 558 Delano MN 55328-8603 |
Practice Telephone | 7636822829 |
Practice Fax Number | 7639723965 |
Mailing Telephone | 7639726527 |
Mailing Fax Number | 7639723965 |
Enumeration Date | 2007-04-17 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. RICHARD JAMES MIELKE (DIRECTOR) |
Authorized Official Telephone | 7636822829 |
Authorized Official Credential | LADC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 807207-2-CDT | MN | Agencies |
Other Name | Type Code |
---|---|
Professional Counseling Center of Buffalo | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508081167 | Pcc, Inc | Community/Behavioral Health | 620 Babcock Blvd E, Delano, MN 55328-8603 | 2007-04-17 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | PCC, INC. | 4360 Tracyton Beach Rd, Bremerton, WA 98310 |
Street Address |
7 HWY 55 WEST |
City | BUFFALO |
State | MN |
Zip Code | 55313 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
1386279610 | Julie Lee | Pharmacist | 1300 Hwy 55, Buffalo, MN 55313 | 2020-03-06 |
1023510591 | Brenda Renee Bakken | Licensed Practical Nurse | 25 1st Ave Ne Suite 100, Buffalo, MN 55313 | 2018-03-01 |
1760938716 | Karen Kahler | Counselor | 1772 Donnelly Dr Nw, Buffalo, MN 55313 | 2016-08-30 |
1235514118 | Minnesota Teen Challenge, Inc. | Exclusive Provider Organization | 100 Garrison Ave Ne, Buffalo, MN 55313 | 2015-07-21 |
1912391723 | Cassandra Loeffler | Chiropractor | 1200 Mn 25, Buffalo, MN 55313 | 2015-03-19 |
1134531395 | Total Health and Wellness, Inc. | Chiropractor | 639 Ryan's Way, Buffalo, MN 55313 | 2014-05-22 |
1366797946 | Brenda Kay Lenz | Nurse Practitioner | 755 Crossroads Campus Dr Ne, Buffalo, MN 55313 | 2012-07-19 |
1801190327 | Professional Counseling Center | Community/Behavioral Health | 7 Highway 55 West, Unit 3, Wright One Plaza, Buffalo, MN 55313 | 2010-12-23 |
1619140456 | Lisa Marlene Marty | Speech-Language Pathologist | 2144 County Rd 12 South, Buffalo, MN 55313 | 2008-04-11 |
Find all providers in zip 55313 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780121384 | Shawn M. Montgomery Community Health Services | Community/Behavioral Health | 567 Exchange St Ste 205, Buffalo, NY 14210-1368 | 2017-01-21 |
1801190327 | Professional Counseling Center | Community/Behavioral Health | 7 Highway 55 West, Unit 3, Wright One Plaza, Buffalo, MN 55313 | 2010-12-23 |
1427130889 | M A Stutzman Addiction Treatment Center | Community/Behavioral Health | 360 Forest Avenue, Buffalo, NY 14213-1298 | 2006-10-19 |
1962596718 | Catholic Charities of Buffalo | Community/Behavioral Health | 76 W. Humboldt Parkway, Buffalo, NY 14214 | 2006-10-03 |
1770103673 | Say Yes Buffalo Scholarship, Inc. | Community/Behavioral Health | 712 Main St, Buffalo, NY 14202-1720 | 2020-04-21 |
1558880492 | First Empowerment Wraparound LLC | Community/Behavioral Health | 155 E Keays St, Buffalo, WY 82834-1900 | 2017-09-12 |
1396263067 | Hope Anne Donahue | Community/Behavioral Health | 155 E Keays St, Buffalo, WY 82834-1900 | 2017-09-01 |
1922550094 | Buffalo Psychiatric Center | Community/Behavioral Health | 400 Forest Ave, Buffalo, NY 14213-1207 | 2016-10-25 |
1710434881 | Families' Child Advocacy Network,inc. | Community/Behavioral Health | 135 Delaware Ave, Suite 307, Buffalo, NY 14202-2416 | 2016-09-07 |
1821456443 | Buffalo Psychioatric Center | Community/Behavioral Health | 400 Forest Ave, Buffalo, NY 14213-1207 | 2016-02-10 |
Find all providers in BUFFALO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.