Minnesota - Sanford Health Plan

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MinnesotaBehavioral Health Quick ReferencePlease call an In-Network provider listed below for behavioral health needs assessment services.A Better Connection Inc1009 Hollinger St Park Rapids, MN 56470Phone:(218) 252-2785Phone:(507) 372-2921Phone:(507) 625-7246Phone:(320) 693-3233Phone:(320) 231-5000Phone:(320) 231-5000Danielle Lien, LICSWRita Anderson, LADC,LPCC,MASarah Trued, PMHNP-BCTanya Trombley, PsyDAccess Family Medical Clinic1216 Ryans Road Worthington, MN 56187Julie Linsenmeyer, CNP,PNPKristal Grigsby, LICSWAdvanced Pain Management, SC1400 Madison Ave Ste 402 Mankato, MN 56001Thanh Dang, MDAffiliated Community Medical Centers, P.A. Litchfield520 S Sibley Ave Litchfield, MN 55355Amy Miller, PsyDAffiliated Community Medical Centers, P.A. Willmar101 Willmar Ave SW Willmar, MN 56201Amy Miller, PsyDAnn Jones, LPDiane Zorn, PsyDEric Hernandez, MD,PhDKristi Phillips, PsyDMary Vomacka, MDMerlin Nelson, MDSteven Kuchta, PhD1604 S 1st St Willmar, MN 56201Amy Miller, PsyDAnn Jones, LPHP-0984 03/19Diane Zorn, PsyDSanford Health Plan Participating Providers as of March 1, 2019

Kristi Phillips, PsyDMary Vomacka, MDSteven Kuchta, PhDAltru Clinic FertileMill St & Main Fertile, MN 56540Phone:(218) 945-6064Phone:(218) 463-1365Phone:(218) 386-2020Phone:(218) 281-9100Phone:(218) 687-5317Phone:(218) 253-4343Lacy Suby, LCSW,LICSWAltru Clinic Roseau711 Delmore Dr Roseau, MN 56751Kondal Madaram, MDLacy Suby, LCSW,LICSWMatthew Roller, MDAltru Clinic Warroad412 N Main Ave Warroad, MN 56763Ashok Bansal, MDJoann Olson, LICSWLacy Suby, LCSW,LICSWMatthew Roller, MDRebecca Novacek, MDAltru Clinic Crookston400 S Minnesota St Crookston, MN 56716Ashok Bansal, MDCory Edwards, MDJoann Olson, LICSWLacy Suby, LCSW,LICSWMatthew Roller, MDRebecca Novacek, MDAltru Clinic Erskine23076 347th St SE Erskine, MN 56535Ashok Bansal, MDJoann Olson, LICSWLacy Suby, LCSW,LICSWMatthew Roller, MDRebecca Novacek, MDAltru Clinic Red Lake Falls312 International Dr Red Lake Falls, MN 56750Sanford Health Plan Participating Providers as of March 1, 2019Page 2 of 76

Ashok Bansal, MDJoann Olson, LICSWLacy Suby, LCSW,LICSWMatthew Roller, MDRebecca Novacek, MDAltru Clinic Thief River Falls1845 Hwy 59 S Ste 800 Thief River Falls, MN 56701Phone:(218) 681-7280Phone:(320) 289-2400Ashok Bansal, MDJoann Olson, LICSWLacy Suby, LCSW,LICSWMatthew Roller, MDRebecca Novacek, MDAppleton Medical Clinic30 S Behl St Appleton, MN 56208Kelsey Tollefson, LICSWAvalon Programs LLC DBA New Beginnings of Minnesota- St Anthony Park1821 University Ave W Ste N385 Saint Paul, MN 55104Phone:(612) 326-7579Phone:(507) 337-2923Phone:(507) 694-1377Glenn Smith, BS,LADCShirley Butcher, LADC,LPCC,MAAvera Marshall Psychiatry Associates1104 E College Dr Ste B Marshall, MN 56258Ann Makar, MDAnne Vorbach, LP,PhDChloe Olson, MDDavid Whaley, MDDominick Trombetta, MDSeth Ahrendt, MDSeth Parsons, MDShannon Brewers, LICSWVeronica Radigan, MDWilliam Del Monte, MDAvera Medical Group Ivanhoe366 E George St Ivanhoe, MN 56142Anne Vorbach, LP,PhDSanford Health Plan Participating Providers as of March 1, 2019Page 3 of 76

Avera Medical Group Lake Benton109 E Benton St Lake Benton, MN 56149Phone:(507) 247-5921Phone:(507) 247-5921Phone:(507) 372-2921Phone:(218) 214-9950Phone:(218) 444-5155Phone:(701) 936-1190Phone:(218) 444-2521Phone:(320) 235-4543Phone:(952) 224-8990Phone:(952) 224-8990Anne Vorbach, LP,PhDAvera Medical Group Tyler240 Willow St Tyler, MN 56178Anne Vorbach, LP,PhDWilliam Del Monte, MDAvera Medical Group Worthington1216 Ryans Road Ste 1 Worthington, MN 56187Julie Linsenmeyer, CNP,PNPKristal Grigsby, LICSWBehavior Care Specialists, Inc.735 3rd St SW Perham, MN 56573Tracy Stephens, BCBA,PhDBemidji Area Program for Recovery, Inc.403 4th St NW Ste 300 Bemidji, MN 56601Michael Hill, PhDBeths Place LLC1606 30th Ave S Ste 2 Moorhead, MN 56560Cassie Kasowski, LACBinesiikweg Inc522 Beltrami Ave NW Ste 15 Bemidji, MN 56601Deonne Williams, LICSW,MSWMelissa George Humphrey, LICSWCarris Health - Rice Memorial Hospital301 Becker Ave SW Willmar, MN 56201Daniel Scott, MDStephanie Olson, CNPCashman Center2970 Judicial Rd Ste 100 Burnsville, MN 55337Alecia Viera, LP,PsyDKathryn Cashman, LP,MAKristi Picken, MSShannon Goecke-Watson, PsyD562 Bavaria Ln Chaska, MN 55318Alecia Viera, LP,PsyDSanford Health Plan Participating Providers as of March 1, 2019Page 4 of 76

Kathryn Cashman, LP,MACatholic Charities123 Oxford St Worthington, MN 56187Phone:(507) 376-9757Phone:(218) 444-7013Phone:(320) 428-0744Phone:(218) 643-3000Phone:(218) 643-3000Phone:(800) 438-1772Phone:(800) 438-1772Phone:(800) 438-1772Phone:(218) 233-9426Phone:(320) 843-3454Diane Dunn, LICSWCenter for Psychiatric Care519 Anne St NW Ste A Bemidji, MN 56601David Bialik, LICSWIkenna Obasi, MDJagan Jakkula, MDMuhammad Azhar, MDNatasha Krebs, CNP,NP-CCharline Bengtson LLC/dba North Country Family Services105 2nd Ave NE Ste 110 Glenwood, MN 56334Charline Bengtson, LMFTCHI St Francis Healthcare Campus2400 St Francis Dr Breckenridge, MN 56520John Molstre, LP,PhDLaurie Kessler, LADCCHI St Francis Medical Center Clinic2400 St Francis Dr Breckenridge, MN 56520Jan Ketterling, LP,PsyDJohn Molstre, LP,PhDNancy Torson, MDChristian Family Solutions16233 Kenyon Ave Ste 125 Lakeville, MN 55044Joshua Mears, LP,LPCC,PsyD1995 Luther Ct New Ulm, MN 56073Joshua Mears, LP,LPCC,PsyD421 E Hickory St Ste 402 Mankato, MN 56001Joshua Mears, LP,LPCC,PsyDColette C. Kuznia, LPCC403 Center Ave Ste 405 Moorhead, MN 56560Colette Kuznia, LPC,LPCC,NCCCounseling Associates of West Central MN1815 Atlantic Ave Benson, MN 56215Sanford Health Plan Participating Providers as of March 1, 2019Page 5 of 76

Kristin Schmidt, LGSW,MSWCounseling Care8669 Eagle Point Blvd Lake Elmo, MN 55042Phone:(651) 379-0444Phone:(320) 314-2438Phone:(320) 214-8558Phone:(320) 808-3070Phone:(218) 751-0887Phone:(218) 736-3035Phone:(218) 760-0656Phone:(701) 241-9281Phone:(320) 363-8055Phone:(320) 492-0329Phone:(651) 206-5783Steven Lutz, PsyDTimothy Johnson, LICSW,LMFTCrossroads Counseling Centers, Inc.1120 Atlantic Ave Benson, MN 56215Ginny Backman, LICSW201 28th Ave SW Willmar, MN 56201Daniel Nelson, LPCC,MAGinny Backman, LICSW625 Broadway St Ste 104 Alexandria, MN 56308Kathryn Lichty, LICSWD Williams Inc1526 30th Street NW Bemidji, MN 56601Deonne Williams, LICSW,MSWDarveaux Psychological Services121 N Mill St Fergus Falls, MN 56537Dion Darveaux, PhDDba Eagle Vista Ranch & Wellness Center16150 Golden Eagle Ct NW Bemidji, MN 56601Elizabeth Letson, LPC,MSDenise Duke, EdD, LP420 Center Ave Ste 7 Moorhead, MN 56560Denise Duke, EdD,LPDevelopmental Diagnostics, LLC15 E Minnesota St Ste 105 Saint Joseph, MN 56374Holly Clausen, LP,PhDDr Beth A Good DNP, APRN, PMHCS-BC, LLC820 Howe Ave Ste 108 Mora, MN 55051Beth Good, APRN,DNP,PMHCNS-BCDr Kristy Brecke2130 Cliff Rd Ste 200 Eagan, MN 55122Kristy Brecke, LPCCSanford Health Plan Participating Providers as of March 1, 2019Page 6 of 76

Drake Counseling Services, Inc.28579 US Hwy 10 E Detroit Lakes, MN 56501Phone:(218) 847-1329Phone:(701) 293-5429Phone:(320) 762-1762Phone:(218) 784-5000Phone:(218) 694-6281Phone:(218) 454-5935Phone:(218) 828-7100Phone:(218) 454-5802Phone:(218) 246-2900Phone:(218) 727-8762Jacqueline Grams, LACKyrstal Ramirez, LICSW919 8th Ave N Moorhead, MN 56560Jamie Johnson, LAC,LPCCEd Modahl LP324 Broadway St Ste 206 Alexandria, MN 56308Edward Modahl, ED,LP,MSEssentia Health Ada Clinic201 9th St W Ada, MN 56510Janet Denison, LCSW,LICSWJodi Boerger Wilder, PsyDKatherine Francis, LICSWRhonda Callahan, LICSWEssentia Health Bagley Clinic121 Central St W Bagley, MN 56621Kristi Lind Wheatley, PMHNP-BCEssentia Health Baxter Specialty Clinic13060 Isle Dr Baxter, MN 56425Barbara Frey-Brown, APRN,CNPEssentia Health Brainerd Specialty Clinic2024 S 6th St Brainerd, MN 56401Barbara Frey-Brown, APRN,CNPEssentia Health Convenient Care-Baxter14133 Edgewood Dr Baxter, MN 56401Barbara Frey-Brown, APRN,CNPEssentia Health Deer River Clinic115 10th Ave NE Ste A Deer River, MN 56636Amber Erickson, MDKatherine Beresford, MDKatherine Esse, MDEssentia Health Duluth502 E 2nd St Duluth, MN 55805Chelsey Harju, LICSWSanford Health Plan Participating Providers as of March 1, 2019Page 7 of 76

Cheryl Lagergren, LICSWCindy Kellett, APRN,CNPDorothy Rappel, LPElena Metcalf, MDElizaBeth Carver, LPElizabeth Homan, MD,MPHFrances Chammings, LPJosette Church, LICSWKenzie Kleven, APRN,CNPLainie Janke, LICSWMary Geidner, LICSWMary McClernon, LICSWMichaela Merrill Mayfield, LPNicole Harriman, LICSWRebecca Hoversten-Mellem, LICSWRebel Gustafson, LICSWRichard Gertsema, LPRobin Kelley, LPSally Maxwell, LPEssentia Health Duluth - Amberwing Clinic615 Pecan Ave Duluth, MN 55811Phone:(218) 355-2100Phone:(218) 786-8364Chelsey Harju, LICSWElena Metcalf, MDJulianne Davis, LPKelsey Berg, LP,PsyDMaren Barootian, LICSWRebecca Hoversten-Mellem, LICSWRichard Gertsema, LPSteven Sutherland, MDEssentia Health Duluth Clinic400 E 3rd St Duluth, MN 55805Allison Hill, APRN,CNPAmber Erickson, MDAmy Lisdahl, APRN,CNPSanford Health Plan Participating Providers as of March 1, 2019Page 8 of 76

Ann Shirley, LICSWBarbara Boehm, PsyDBintou Gassama, MDBrian Harlan, MDChelsey Harju, LICSWChena Beauduy, DOCheryl Lagergren, LICSWCindy Kellett, APRN,CNPClaude Parker, MDDavid Baldes, DMDDavid Heverly, MDDennis Gee, MDElena Metcalf, MDElizaBeth Carver, LPEric Willms, LP,PsyDEugene Nightingale, MDFaris Keeling, MDGary Beaver, DOGerald Ouellette, LPGizelle Spurgeon, MDIkechukwu Obih, MDJacque Gowan, LICSW,LISW,MSWJames Rougle, DOJamie Rambeau, MDJennifer Nelson Albee, LICSWJill Isenberg, LPJoanna Green, MSWJohn Glick, MDJohn McBride, LPJulianne Davis, LPJulie Sevick, LP,PsyDKatie Onofreychuk, LICSWKelsey Berg, LP,PsyDSanford Health Plan Participating Providers as of March 1, 2019Page 9 of 76

Kenna Bolton Holz, LP,PhDKenneth Shea, MDKenzie Kleven, APRN,CNPKolawole Adediran, MDKristi Estabrook, MDLaura Boylan, MDLaura Hoffarth, LICSWLaura Whitney, LPLisa Streefland, LPLynne LaMar, LPMahmoud Al Masry, MDMaren Barootian, LICSWMargaret Saracino, MDMark Ham, LPMary Geidner, LICSWMary McClernon, LICSWMatthew Webb, LP,PsyDMeenakshi Vimalananda, MBBS,MDMichael Sharland, LPMichaela Merrill Mayfield, LPMostafa Farache, MDMuhammad Khan, MDMuhammad Suri, MDNancy LeRoux, LICSWNicholas Navarro, LICSWPaul Remark, EdD,LPPeder Svingen, MDRachel Ashford, LICSW,MSWRebecca Hoversten-Mellem, LICSWRebecca Perrett, LICSWRebel Gustafson, LICSWRhonda Krossner, LPRichard Gertsema, LPSanford Health Plan Participating Providers as of March 1, 2019Page 10 of 76

Richard Kanoff, DO,JDRobert Most, MDRobin Brady, APRN,CNPSamson Vimalananda, MBBS,MDSteven Bauer, MDSteven Sutherland, MDSusan Bruns, LPTheodore Weltzin, MDTherese Sundberg, APRN,CNPTim Smith, MDTodd Heggestad, LPVikram Jadhav, MBBSWendy Olson, LICSWWolcott Holt, MDEssentia Health Ely Clinic300 W Conan St Ely, MN 55731Phone:(218) 365-7900Phone:(218) 435-1212Phone:(218) 999-7099Phone:(218) 999-7000Phone:(218) 786-3540Ericka LaMar, LP,PsyDEssentia Health Fosston Clinic900 Hilligoss Blvd SE Fosston, MN 56542Jodi Boerger Wilder, PsyDKristi Lind Wheatley, PMHNP-BCTara Miller, LICSWEssentia Health Grand Rapids Clinic1542 Golf Course Rd Grand Rapids, MN 55744Richard Kanoff, DO,JDEssentia Health Grand Rapids Specialty Clinic1542 Golf Course Rd Ste 202 Grand Rapids, MN 55744Richard Kanoff, DO,JDEssentia Health Hermantown Clinic4855 W Arrowhead Rd Hermantown, MN 55811Julianne Davis, LPKatie Onofreychuk, LICSWLaura Hoffarth, LICSWMichaela Merrill Mayfield, LPSanford Health Plan Participating Providers as of March 1, 2019Page 11 of 76

Nicholas Navarro, LICSWPaul Larkin, LICSWPaul Remark, EdD,LPEssentia Health Hibbing Clinic730 E 34th St Hibbing, MN 55746Phone:(218) 263-1000Phone:(218) 283-9431Phone:(218) 786-3550Phone:(218) 576-0100Phone:(218) 564-4131Phone:(701) 364-6800Phone:(218) 229-3311Katherine Beresford, MDRichard Kanoff, DO,JDWolcott Holt, MDEssentia Health International Falls Clinic2501 Keenan Dr International Falls, MN 56649Jeffrey Hardwig, MDKatherine Beresford, MDTim Smith, MDEssentia Health Lakeside Clinic4621 E Superior St Duluth, MN 55804Nancy LeRoux, LICSWNicholas Navarro, LICSWEssentia Health Lakewalk Clinic1502 London Rd Ste 102 Duluth, MN 55812Jill Isenberg, LPKatherine Beresford, MDKatie Onofreychuk, LICSWMichael Sharland, LPRebel Gustafson, LICSWEssentia Health Menahga Clinic212 Aspen Ave NE Menahga, MN 56464Joel Kirchner, PsyDEssentia Health Moorhead Clinic801 Belsly Blvd S Moorhead, MN 56560Kara Richardson-Cline, LP,PhDEssentia Health Northern Pines Clinic5211 Highway 110 Aurora, MN 55705Ericka LaMar, LP,PsyDKatherine Esse, MDEssentia Health Polinsky Medical Rehab CenterSanford Health Plan Participating Providers as of March 1, 2019Page 12 of 76

530 E 2nd St Duluth, MN 55805Phone:(218) 786-5360Phone:(218) 576-0200Phone:(320) 245-2211Phone:(218) 828-2880Phone:(218) 828-7100Anna Ryan, LPDorothy Rappel, LPElizabeth Kinney, LICSWEric Willms, LP,PsyDGerald Ouellette, LPJessica Schilling, LPJulie Sevick, LP,PsyDLaura Whitney, LPLynne LaMar, LPMark Ham, LPMatthew Webb, LP,PsyDRyan Stephen, LPSally Maxwell, LPSusan Bruns, LPTodd Heggestad, LPEssentia Health Proctor Clinic211 S Boundary Ave Proctor, MN 55810Katie Onofreychuk, LICSWRebel Gustafson, LICSWEssentia Health Sandstone705 Lundorff Dr S Sandstone, MN 55072Katherine Esse, MDEssentia Health St Joseph's Baxter Clinic13060 Isle Dr Baxter, MN 56425Anh Nguyen, MDJared Rustad, MDEssentia Health St Joseph's Brainerd Clinic2024 S 6th St Brainerd, MN 56401Anh Nguyen, MDBarbara Frey-Brown, APRN,CNPHeidi Sorenson, MDJared Rustad, MDTiyonnoh Cash, MDVarun Shandal, MBBSSanford Health Plan Participating Providers as of March 1, 2019Page 13 of 76

Essentia Health St Joseph's Lakeland Psychiatry523 N 3rd St Brainerd, MN 56401Phone:(218) 828-7394Phone:(218) 829-2861Phone:(218) 847-5611Phone:(218) 786-4000Lainie Janke, LICSWLeola Johnson, APRN,CNPMichaela Merrill Mayfield, LPPeter Neifert, MDSteven Grandt, MDTim Smith, MDEssentia Health St Joseph's Medical Center523 N 3rd St Brainerd, MN 56401Barbara Frey-Brown, APRN,CNPJesse Corry, MDKatherine Esse, MDSandra Hanson, MDEssentia Health St Mary's Detroit Lakes Clinic1027 Washington Ave Detroit Lakes, MN 56501Amy Missling, LP,PsyDBobi Spaeth, LICSWDelores Alleckson, APRN,CNPEmily Welle, MDGregory Hauge, PhDJodi Boerger Wilder, PsyDJoel Kirchner, PsyDMichael Stewart, MDMichelle England, MSWNancy Trickey, LICSWPaula Kitzmann, LICSWSusan Welnel, PhDEssentia Health St Marys Medical Center407 E 3rd St Duluth, MN 55805Ann Shirley, LICSWKatherine Esse, MDRebel Gustafson, LICSWRegina Dixon, LPSanford Health Plan Participating Providers as of March 1, 2019Page 14 of 76

Essentia Health St Mary's Park Rapids Clinic705 Pleasant Ave Park Rapids, MN 56470Phone:(218) 732-2800Phone:(218) 863-2000Phone:(218) 741-3340Phone:(218) 741-0150Phone:(218) 748-7750Phone:(218) 547-6900Phone:(218) 786-3500Phone:(507) 235-6070Bobi Spaeth, LICSWDelores Alleckson, APRN,CNPGregory Hauge, PhDJoel Kirchner, PsyDNancy Trickey, LICSWPaula Kitzmann, LICSWEssentia Health St Mary's Pelican Rapids Clinic301 N Broadway Pelican Rapids, MN 56572Amy Missling, LP,PsyDEmily Welle, MDMichael Stewart, MDEssentia Health Virginia901 9th St N Virginia, MN 55792Katherine Esse, MDEssentia Health Virginia Clinic1101 9th St N Virginia, MN 55792Allison Hill, APRN,CNPEricka LaMar, LP,PsyDRichard Kanoff, DO,JDTim Smith, MDEssentia Health Virginia Medical Arts Clinic901 9th St N Virginia, MN 55792Katherine Beresford, MDEssentia Health Walker Clinic110D Michigan Ave NW Walker, MN 56484Joel Kirchner, PsyDEssentia Health West Duluth Clinic4212 Grand Ave Duluth, MN 55807Mark Albee, LICSWEunoia Family Resource Center PA1100 Indus St Fairmont, MN 56031Brandon Dugan, LP,PhD,PsyDEmily Ovrebo, LP,PsyDSanford Health Plan Participating Providers as of March 1, 2019Page 15 of 76

Heidi Schiltz, LPCC,MSRamie Vetter, LP,PsyD112 5th St PO Box 392 Gaylord, MN 55334Phone:(507) 299-6038Phone:(855) 935-6463Phone:(855) 935-6463Phone:(855) 935-6463Phone:(507) 359-2080Phone:(507) 779-7366Brandon Dugan, LP,PhD,PsyDCarol Polzin, LPCC,MSEmily Ovrebo, LP,PsyDKristie Schaefer, LP,PsyDRamie Vetter, LP,PsyD116 7th St South Saint James, MN 56081Emily Ovrebo, LP,PsyDKatie Wojtalewicz, LP,PsyDRamie Vetter, LP,PsyD120 7th St South Saint James, MN 56081Emily Ovrebo, LP,PsyDKatie Wojtalewicz, LP,PsyDRamie Vetter, LP,PsyD121 Drew Ave SE Madelia, MN 56062Emily Ovrebo, LP,PsyDKatie Wojtalewicz, LP,PsyDRamie Vetter, LP,PsyD1226 S Broadway St New Ulm, MN 56073Brandon Dugan, LP,PhD,PsyDDanielle Fischer Marti, LICSW,MSWEmily Ovrebo, LP,PsyDRachel Swenson, LICSW,MSWRamie Vetter, LP,PsyD1400 Madison Ave Ste 628 Mankato, MN 56001Amanda Knutson, LPCCBrandon Dugan, LP,PhD,PsyDEmily Ovrebo, LP,PsyDKathleen Christensen, PsyDKatie Wojtalewicz, LP,PsyDRamie Vetter, LP,PsyDScott Morgan, LICSW,MSWSanford Health Plan Participating Providers as of March 1, 2019Page 16 of 76

1420 N State St Fairmont, MN 56031Phone:(507) 512-1313Phone:(320) 759-3096Phone:(320) 759-3096Phone:(320) 631-7200Phone:(320) 468-2536Phone:(218) 751-0887Phone:(507) 292-1600Phone:(320) 864-3121Amanda Knutson, LPCCBrandon Dugan, LP,PhD,PsyDCarol Polzin, LPCC,MSDanielle Fischer Marti, LICSW,MSWEmily Ovrebo, LP,PsyDHeidi Schiltz, LPCC,MSKathleen Christensen, PsyDKatie Wojtalewicz, LP,PsyDKristie Schaefer, LP,PsyDMichael Lockwood, LICSWRachel Swenson, LICSW,MSWRamie Vetter, LP,PsyDScott Morgan, LICSW,MSWFamily Innovations, Inc.121 5th Ave W Alexandria, MN 56308Benjamin Nesbitt, LICSW1833 3rd Ave Anoka, MN 55303Benjamin Nesbitt, LICSWFamily Medical Center811 2nd St SE Little Falls, MN 56345Barbara Frey-Brown, APRN,CNPFamily Medical Center - Pierz200 SE 1st Ave Pierz, MN 56364Barbara Frey-Brown, APRN,CNPGeri Wilimek LICSW, LLC1526 30th St NW Bemidji, MN 56601Geri Wilimek, LICSWGina A. Dilly300 1st Ave NW Ste 200 Rochester, MN 55901Gina Dilly, LPGlencoe Regional Health Services Glencoe Clinic1805 Hennepin Ave N Glencoe, MN 55336Dimitrios Giannakidis, MDSanford Health Plan Participating Providers as of March 1, 2019Page 17 of 76

Jesse Corry, MDKatherine Esse, MDLyla Veen, MDSandra Hanson, MDSheetal Patel, MDWangcai Gao, MDGranite Falls Health345 10th Ave Granite Falls, MN 56241Phone:(320) 564-3111Phone:(218) 214-6096Phone:(320) 214-9692Jane VanSickle, LPCJane VanSickle, LPCJoAnn Steinbach, LICSWJoAnn Steinbach, LICSWGreat North Counseling Services, LLC516 Beltrami Ave NW Bemidji, MN 56601Heather Frach, LADC,LPCCKimberly Carroll, LADC,LPC,MAGreater Minnesota Family Services2320 E Hwy 12 Ste 2 Willmar, MN 56201Amanda Wolff, LPCCAngela Brogle, LPCCArundathi Rao, LPCCAshley Millner, LPCCBarbara Yelle, LICSWBrandon Pellaton, LICSWBrianne Miller, MSWCarrie Grady, LPCCCassiann Anderson, LICSWCraig Carlson, LPDonna Strandberg, LPCCE Herrick, LMFT,LPGabrielle Palmer, LPCCGeorge Dubie, LPJason Meyer, MSWJenna Prusa, LICSWSanford Health Plan Participating Providers as of March 1, 2019Page 18 of 76

Karen Dolan, LMFT,MSWKate Cowley, LSWKayla Gruber, LPCCLisa Sater, LICSWLori Sanborn, LICSWMargaret Wangen, MSWMarie Kuechenmeister, LPCCMary McDonnell, LICSWMichael Travers, LICSWNicole Wellendorf-Felton, LICSWPatricia Butler, MSWRadhelle Morrison, LPCCRebecca Johnson, LPCCRondi Lillehaug, LICSW,MSWSamantha Plumski, LICSWShealynn Joyce, LPCCStephanie Clausen-Swenson, LPCCThomas Braatz, LICSWGreater Minnesota Family Services - Brainerd SEED Program526 Kingwood St Brainerd, MN 56401Phone:(320) 214-9692Phone:(320) 214-9692Phone:(320) 214-9692Phone:(320) 214-9692Phone:(320) 214-9692Lisa Sater, LICSWSamantha Plumski, LICSWGreater Minnesota Family Services - OrtonVille SEED Program510 Burdick Ave Ortonville, MN 56278Donna Strandberg, LPCCShealynn Joyce, LPCCGreater Minnesota Family Services - Redwood Falls SEED Program125 Washington St Redwood Falls, MN 56283Nicole Wellendorf-Felton, LICSWGreater Minnesota Family Services - St Coud SEED Program525 25th Ave N Saint Cloud, MN 56303Kayla Gruber, LPCCGreater Minnesota Family Services - Willmar SEED Program513 SW 5th St Willmar, MN 56201Sanford Health Plan Participating Providers as of March 1, 2019Page 19 of 76

Shealynn Joyce, LPCCGreater Minnesota Family Services - Windom SEED Program315 9th St Windom, MN 56101Phone:(320) 214-9692Phone:(320) 214-9692Phone:(218) 366-2636Phone:(218) 289-6177Phone:(218) 477-2161Phone:(218) 879-4559Phone:(218) 387-9444Phone:(218) 624-5683Brianne Miller, MSWGreater Minnesota Family Services-Mankato SEED Program1704 N Riverfront Dr Mankato, MN 56001Gabrielle Palmer, LPCCGroupWorks Wellness and Recovery Services1003 Hollinger St Park Rapids, MN 56470Dawn Pappas, LICSWDeborah Farrell, LCSWJessica Burkhamer, LICSW,MSWHart to Heart Counseling1125 18th Ave SE East Grand Forks, MN 56721Patrick Hart, LPCCHendrix Health Center MSUM1104 7th Ave S Moorhead, MN 56563Rita Lall, LP,MSHuman Development Center1000 18th Street Cloquet, MN 55720Benita Gusaas-Goodwin, LICSW,MSWJean Pierce, LP,MAMark Hunt, LPCC,MA101 W 5th St Grand Marais, MN 55604Cecilia Bloomquist, LICSW115 W 4th St Duluth, MN 55806Alex Ross, LPCCAllison Pikul, LICSWAnna Splady, LICSWCarolyn Phelps, LP,PhDCecilia Bloomquist, LICSWHannah Waterman, LICSWKayla Wilson, LPC,LPCC,MSEdRebecca Oachs, LICSWSanford Health Plan Participating Providers as of March 1, 2019Page 20 of 76

Saprina Matheny, LICSWScott Johnson, LCSW131 9th Ave Proctor, MN 55810Phone:(218) 624-5683Phone:(218) 834-5520Phone:(218) 728-4491Alex Ross, LPCCAnna Splady, LICSWHannah Waterman, LICSWRebecca Oachs, LICSWSaprina Matheny, LICSW137 Banks Blvd Silver Bay, MN 55614Cecilia Bloomquist, LICSW1401 E 1st St Duluth, MN 55805Alex Ross, LPCCAllison Pikul, LICSWAmy Lisdahl, APRN,CNPAnna Splady, LICSWBailey Homstad, MSWBenita Gusaas-Goodwin, LICSW,MSWBenjamin Hatfield, LICSW,MSWBrent Hanson, CNPCarolyn Phelps, LP,PhDCecilia Bloomquist, LICSWEric Carlson, LICSWHannah Waterman, LICSWJacque Gowan, LICSW,LISW,MSWJean Pierce, LP,MAKathryn Everson, LPCKayla Wilson, LPC,LPCC,MSEdLori Sternal, LPMark Hunt, LPCC,MAPhoenix Walker, LADCRachel Phillips, LADC,LGSW,MSWRebecca Oachs, LICSWSaprina Matheny, LICSWSanford Health Plan Participating Providers as of March 1, 2019Page 21 of 76

Scott Johnson, LCSWSteven Bauer, MDTanya Bednarek, LADCTaushia Brooks, LPCC,NCCVirginia Pappas, LPCC1401 East 2nd St Duluth, MN 55805Phone:(218) 624-5683Phone:(218) 728-5101Alex Ross, LPCCAnna Splady, LICSWCarolyn Phelps, LP,PhDCecilia Bloomquist, LICSWHannah Waterman, LICSWKayla Wilson, LPC,LPCC,MSEdRebecca Oachs, LICSWSaprina Matheny, LICSWScott Johnson, LCSW1402 E 2nd St Duluth, MN 55805Alex Ross, LPCCAllison Pikul, LICSWAmy Lisdahl, APRN,CNPAnna Splady, LICSWBenita Gusaas-Goodwin, LICSW,MSWBenjamin Hatfield, LICSW,MSWBrent Hanson, CNPCarolyn Phelps, LP,PhDCecilia Bloomquist, LICSWHannah Waterman, LICSWJean Pierce, LP,MAKayla Wilson, LPC,LPCC,MSEdLori Sternal, LPRebecca Oachs, LICSWSaprina Matheny, LICSWScott Johnson, LCSWSteven Bauer, MDSanford Health Plan Participating Providers as of March 1, 2019Page 22 of 76

1406 East 2nd St Duluth, MN 55805Phone:(218) 624-5683Phone:(218) 624-5683Alex Ross, LPCCAllison Pikul, LICSWAnna Splady, LICSWBailey Homstad, MSWBenita Gusaas-Goodwin, LICSW,MSWBenjamin Hatfield, LICSW,MSWCarolyn Phelps, LP,PhDCecilia Bloomquist, LICSWEric Carlson, LICSWHannah Waterman, LICSWJacque Gowan, LICSW,LISW,MSWJean Pierce, LP,MAKayla Wilson, LPC,LPCC,MSEdLori Sternal, LPMark Hunt, LPCC,MARebecca Oachs, LICSWSaprina Matheny, LICSWScott Johnson, LCSWTaushia Brooks, LPCC,NCCVirginia Pappas, LPCC1412 East 2nd St Duluth, MN 55805Alex Ross, LPCCAllison Pikul, LICSWAnna Splady, LICSWBenita Gusaas-Goodwin, LICSW,MSWBenjamin Hatfield, LICSW,MSWCarolyn Phelps, LP,PhDCecilia Bloomquist, LICSWHannah Waterman, LICSWJean Pierce, LP,MAKayla Wilson, LPC,LPCC,MSEdLori Sternal, LPSanford Health Plan Participating Providers as of March 1, 2019Page 23 of 76

Rebecca Oachs, LICSWSaprina Matheny, LICSWScott Johnson, LCSW1807 W Hwy 61 Grand Marais, MN 55604Phone:(218) 387-9444Phone:(218) 624-5683Phone:(218) 624-5683Alex Ross, LPCCAmy Lisdahl, APRN,CNPBailey Homstad, MSWBrent Hanson, CNPCarolyn Phelps, LP,PhDEric Carlson, LICSWHannah Waterman, LICSWJacque Gowan, LICSW,LISW,MSWKayla Wilson, LPC,LPCC,MSEdScott Johnson, LCSWSteven Bauer, MD1918 North Arlington Ave Duluth, MN 55811Alex Ross, LPCCAnna Splady, LICSWBrent Hanson, CNPCecilia Bloomquist, LICSWHannah Waterman, LICSWKayla Wilson, LPC,LPCC,MSEdRebecca Oachs, LICSWSaprina Matheny, LICSWScott Johnson, LCSW215 North 1st Ave E Duluth, MN 55802Alex Ross, LPCCAllison Pikul, LICSWBenita Gusaas-Goodwin, LICSW,MSWCarolyn Phelps, LP,PhDCecilia Bloomquist, LICSWHannah Waterman, LICSWJacque Gowan, LICSW,LISW,MSWKayla Wilson, LPC,LPCC,MSEdSanford Health Plan Participating Providers as of March 1, 2019Page 24 of 76

Rebecca Oachs, LICSWSaprina Matheny, LICSWScott Johnson, LCSW31 West 1st St Duluth, MN 55802Phone:(218) 727-4200Phone:(218) 834-5520Phone:(218) 879-4559Amy Lisdahl, APRN,CNPBrent Hanson, CNPSteven Bauer, MD325 11th Avenue Two Harbors, MN 55616Alex Ross, LPCCAllison Pikul, LICSWAmy Lisdahl, APRN,CNPAnna Splady, LICSWBailey Homstad, MSWBenita Gusaas-Goodwin, LICSW,MSWBenjamin Hatfield, LICSW,MSWBrent Hanson, CNPCarolyn Phelps, LP,PhDCecilia Bloomquist, LICSWEric Carlson, LICSWHannah Waterman, LICSWJacque Gowan, LICSW,LISW,MSWJean Pierce, LP,MAKayla Wilson, LPC,LPCC,MSEdLori Sternal, LPMark Hunt, LPCC,MARebecca Oachs, LICSWSaprina Matheny, LICSWScott Johnson, LCSWSteven Bauer, MDVirginia Pappas, LPCC3675 County Raod 140 Barnum, MN 55707Benita Gusaas-Goodwin, LICSW,MSWJean Pierce, LP,MASanford Health Plan Participating Providers as of March 1, 2019Page 25 of 76

Mark Hunt, LPCC,MAScott Johnson, LCSW3813 E North Road Barnum, MN 55707Phone:(218) 879-4559Phone:(218) 879-4559Phone:(218) 624-5683Benita Gusaas-Goodwin, LICSW,MSWJean Pierce, LP,MAMark Hunt, LPCC,MAScott Johnson, LCSW40 11th Street Cloquet, MN 55720Alex Ross, LPCCAllison Pikul, LICSWAmy Lisdahl, APRN,CNPAnna Splady, LICSWBailey Homstad, MSWBenita Gusaas-Goodwin, LICSW,MSWBenjamin Hatfield, LICSW,MSWBrent Hanson, CNPCarolyn Phelps, LP,PhDEric Carlson, LICSWHannah Waterman, LICSWJacque Gowan, LICSW,LISW,MSWJean Pierce, LP,MAKayla Wilson, LPC,LPCC,MSEdLori Sternal, LPMark Hunt, LPCC,MARebecca Oachs, LICSWSaprina Matheny, LICSWScott Johnson, LCSWSteven Bauer, MDVirginia Pappas, LPCC4720 Burning Tree Road Duluth, MN 55811Alex Ross, LPCCAllison Pikul, LICSWAnna Splady, LICSWBrent Hanson, CNPSanford Health Plan Participating Providers as of March 1, 2019Page 26 of 76

Carolyn Phelps, LP,PhDCecilia Bloomquist, LICSWHannah Waterman, LICSWKayla Wilson, LPC,LPCC,MSEdRebecca Oachs, LICSWSaprina Matheny, LICSWScott Johnson, LCSW550 E 5th St Grand Marais, MN 55604Phone:(218) 387-9444Phone:(218) 728-4491Phone:(218) 834-5520Phone:(218) 387-9444Phone:(218) 879-4559Phone:(218) 387-9444Phone:(218) 728-4491Cecilia Bloomquist, LICSW6102 Abrahamson Road Saginaw, MN 55779Amy Lisdahl, APRN,CNPBrent Hanson, CNPSteven Bauer, MD613 3rd Ave Two Harbors, MN 55616Cecilia Bloomquist, LICSW63 Upper Rd Grand Portage, MN 55605Cecilia Bloomquist, LICSW710 South Kenwood Ave Moose Lake, MN 55767Benita Gusaas-Goodwin, LICSW,MSWJean Pierce, LP,MAMark Hunt, LPCC,MA73 Upper Rd Grand Portage, MN 55605Cecilia Bloomquist, LICSW810 E 4th St Duluth, MN 55805Amy Lisdahl, APRN,CNPBenjamin Hatfield, LICSW,MSWBrent Hanson, CNPCarolyn Phelps, LP,PhDEric Carlson, LICSWHannah Waterman, LICSWJacque Gowan, LICSW,LISW,MSWJames Gruba, LPJohn Glick, MDSanford Health Plan Participating Providers as of March 1, 2019Page 27 of 76

Kathryn Palm, CNPKayla Wilson, LPC,LPCC,MSEdKimberly Johnson, CNPRichard Valento, LPCCScott Johnson, LCSWSteven Bauer, MD99 Edison Blvd Silver Bay, MN 55614Phone:(218) 226-3190Phone:(320) 484-4695Phone:(320) 234-3290Phone:(320) 275-3358Phone:(320) 484-4610Cecilia Bloomquist, LICSWSteven Bauer, MDHutchinson Health Clinic1095 Hwy 15 S Hutchinson, MN 55350Laurel Hillstrom, LPCC3 Century Ave Hutchinson, MN 55350Glenn Lewis, MDMichael Heck, DOHutchinson Health Dassel Clinic460 5th St N, P O Box 367 Dassel, MN 55325Glenn Lewis, MDNavin Natarajan, MBBSStacy Nichols, MDHutchinson Health Mental Health Clinic1071 Hwy 15 S Hutchinson, MN 55350Adnan Ahmed, MBBSAnne Nelson, LICSWBrenda Erickson, LP,MAGlenn Lewis, MDJasbir Virk, MDJean Rusinak, LP,PhDJennifer Plath, LICSWJodi Swaja, LICSWKati Klitzke, LP,PsyDLaurel Hillstrom, LPCCLaurie Klawitter, LICSWMichael Heck, DOSanford Health Plan Participating Providers as of March 1, 2019Page 28 of 76

Navin Natarajan, MBBSRussell Morfitt, LP,PhDScott Wichterman, LP,PsyDStacy Nichols, MDSteven Sonnek, MDIntegrated Life Counseling Center8931 33rd St N Lake Elmo, MN 55042Phone:(651) 242-9608Phone:(218) 422-6131Phone:(218) 751-0887Phone:(701) 213-0426Phone:(507) 929-0733Phone:(507) 532-6508Phone:(320) 762-1762Phone:(507) 235-5651Phone:(218) 843-3612Kathryn Hall, LPTracy Swanson, MAIntegrity Counseling, LLC155 2nd Ave SW Perham, MN 56573Bridgit Pankonin, LPC,MA,NCCJay F. Wilimek,PhD, LP, LLC1526 30th St NW Bemidji, MN 56601Jay Wilimek, LP,PhDJeffrey C Gregory PhD PC910 Lincoln Ave Detroit Lakes, MN 56501Darrin Tonsfeldt, CEAP,LP,LPCC,MS,NCCJeffrey Gregory, PhDJim Horgan MA, LP109 S 5th St Marshall, MN 56258James Horgan, LP,MAJim Horgan MA, LP - Hendricks Community Hospital503 E Lincoln St Hendricks, MN 56136James Horgan, LP,MAJolene A Pundsack MS LPCC PLLC324 Broadway St Ste 206 Alexandria, MN 56308Jolene Pundsack, LPCCJoseph E. Switras, PhD, PA208 W 2nd St Ste 116 Fairmont, MN 56031Joseph Switras, PhDKittson Memorial Healthcare Center Clinic1010 S Birch Ave Hallock, MN 56728Matthew Roller, MDKRISMA CounselingSanford Health Plan Participating Providers as of March 1, 2019Page 29 of 76

117 Downtown Plaza Fairmont, MN 56031Phone:(507) 399-2149Phone:(218) 366-9229Phone:(218) 366-9229Phone:(218) 736-8000Phone:(320) 634-3446Kristine Shoen, LICSW,MSWLake Country Associates, Inc.1426 Bemidji Ave N ste 1 Bemidji, MN 56601Alicia Holley, LPCC,MADeanna

366 E George St Ivanhoe, MN 56142 (507) 694-1377 David Whaley, MD Dominick Trombetta, MD Seth Ahrendt, MD Seth Parsons, MD Shannon Brewers, LICSW 1104 E College Dr Ste B Marshall, MN 56258 (507) 337-2923 Ann Makar, MD Anne Vorbach, LP,PhD Chloe Olson, MD Sanford Health Plan

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