Clinic Providers

Dr. Scott Persing

Education: Dr. Persing, is a certified psychiatrist who received his Bachelor’s Degree from the University of South Dakota and his Medical Degree from the University of South Dakota School Medicine in Vermillion, South Dakota.
Services Offered: Psychiatric Services in evaluating and management of adult and geriatric psychiatric illnesses. He has helped individuals manage mental illnesses such as: Depression, Anxiety, Panic Disorder, PTSD, Bipolar Disorder, Obsessive-Compulsive Disorder, Schizophrenia and Dementia. Dr. Persing also conducts court-ordered psychiatric evaluations for individuals in his care.

Todd Pyka, MSW, LCSW

Todd Pyka is a licensed clinical social worker and has been employed at Trempealeau County Health Care Center for the past ten years.
Education: Master Degree, University of Minnesota, St. Paul, Minn. in social work.
Bachelor’s Degree in Social Work, Luther College, in Decorah, Iowa.
Services Offered: Todd Pyka specializes in providing therapy and counseling services to individuals, couples and families with psychological or emotional issues such as: Abuse, Anxiety, Attachment, Depression, Family/Children Stress, Elderly Issues, Financial or Employment Stress, Grief & Loss, Life Changes, Self-Esteem and Stress and Aging Parents in Rural Areas.


Nicole Borreson, CSAC, IDP-AT

Education: Bachelors in Art in Human Services from Columbia College – 2015; Intoxicated Driver Program Approved Training from University of Wisconsin-Madison – 2013,
Certifications: Clinical Substance Abuse Counselor (CSAC), Intoxicated Driver Assessor, member of AAPC.
Services Offered (Adults): Provides 16 hours of Intoxicated Driver Assessments, Driver’s Safety Plans and case management per week, 8 hours of Intoxicated Driver Intervention Program per week, and random drug screening for Trempealeau and Buffalo Counties.
Other Areas of Interest: OWI offenders, Reduction in recidivism through prevention and women with addictions.

Dr. Jody Kroening DNP, PMHNP-BC.

Board Certified Psychiatric Mental Health Nurse Practitioner

Dr. Jody is board certified as a psychiatric mental health nurse practitioner having completed her doctor of nursing practice within the psychiatric mental health specialty in May of 2016 from The College of Saint Scholastica in Duluth, MN. She graduated from St. Catherine University in St. Paul, MN with her baccalaureate nursing certificate in 2008. Prior to initiating practice as a PMHNP Dr. Jody worked for over 7 years as a psychiatric nurse clinician for St. Croix County WI’s Behavioral Health Department and has extensive experience managing patients with severe and persistent mental illness. Dr. Jody is licensed in the states of MN and WI as an independent practitioner and is currently providing psychiatric medication management services in a diverse array of clinical settings ranging from inpatient, to intensive community based county services, to private practice. Dr. Jody works with clients across the lifespan from late childhood to end of life and has a strong interest in working collaboratively within a team of providers.

Special Areas of Interest

Mood Disorders (Bipolar Disorder, Depression, Persistent Depressive Disorder)

Psychotic Disorders (Schizophrenia, Schizoaffective Disorder, Brief Reactive Psychosis, Schizophreniform Disorder)

Anxiety Disorders


PTSD (Post Traumatic Stress Disorder)


PMHNP-BC (American Nursing Credentialing Center ANCC) board certification as a psychiatric mental health nurse practitioner

APNP (Advanced Practice Nurse Prescriber) in the state of Wisconsin: APNP 7026-33

CNP (Certified Nurse Practitioner) in the state of Minnesota: CNP 4563

Active RN licensure in Minnesota and Wisconsin

Daren Dregney
Daren Dregney

Education: Associates Degree in Applied Sciences/Alcohol and Drug Abuse Counseling from Chippewa Valley Technical College in 2001.
License: Clinical Substance Abuse Counselor.
Services offered(Adult): Individual and Group AODA services. Individualized treatment plans.
Areas of Interest: Improved Outcomes/Relapse Prevention.