MEDICARE: MERKABA INTEGRATIVE PSYCHIATRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1871391995
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERKABA INTEGRATIVE PSYCHIATRY

Provider Business Mailing Address
First Line	:	1023 LINWOOD AVE APT 4
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55105-3282
Country	:	US
Telephone Number	:	651-366-0336
Fax Number	:	657-877-6316

Provider Business Practice Location Address
First Line	:	1023 LINWOOD AVE APT 4
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55105-3282
Country	:	US
Telephone Number	:	651-321-3864
Fax Number	:	657-877-6316

Authorized Official
Title or Position	:	PMHNP-BC, AGNP-BC, PAT-C
Name	:	DR. REBECCA ANNE LENZ
Credential	:	APRN, DNP
Telephone Number	:	651-321-3864

Provider Enumeration Date	:	03/04/2025
Last Update Date	:	01/10/2026

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