PCC, INC


Address: 7 Hwy 55 West, Buffalo, MN 55313
Phone: 7636822829

PCC, INC (NPI# 1023234168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 807207-2-CDT MN Agencies

Other Provider/Organization Names

Other Name Type Code
Professional Counseling Center of Buffalo Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1508081167 Pcc, Inc Community/Behavioral Health 620 Babcock Blvd E, Delano, MN 55328-8603 2007-04-17

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations PCC, INC. 4360 Tracyton Beach Rd, Bremerton, WA 98310

Office Location

Street Address 7 HWY 55 WEST
City BUFFALO
State MN
Zip Code 55313

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1760938716 Karen Kahler Counselor 1772 Donnelly Dr Nw, Buffalo, MN 55313 2016-08-30
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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
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City BUFFALO
Zip Code 55313

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Dataset Information

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.

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