MRS. JENNIFER SUE JOHNSON


Address: 1513 10th Ave, St Paul Park, MN 55071-1302
Phone: 6514020330

MRS. JENNIFER SUE JOHNSON (NPI# 1356993125) 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) 1356993125
Entity Type Individual
Full Name MRS. JENNIFER SUE JOHNSON
Other Name MISS JENNIFER SUE BECVAR
Credential MA
Practice Address 1513 10th Ave
St Paul Park
MN 55071-1302
Mailing Address 14967 Carol Ct
Rosemount
MN 55068-0800
Practice Telephone 6514020330
Mailing Telephone 6123065814
Enumeration Date 2019-07-11
Last Update Date 2019-07-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers

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Office Location

Street Address 1513 10TH AVE
City ST PAUL PARK
State MN
Zip Code 55071-1302

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851635973 Jill Ellingson Marriage & Family Therapist 445 Broadway Ave Ste A, St Paul Park, MN 55071 2012-11-15
1750615779 Alternative Home Care Solutions LLC Home Health 1648 Dixon Dr, St Paul Park, MN 55071-1237 2009-09-23
1881718971 West Side Community Health Services, Inc. Clinic/Center 980 9th Ave S, Saint Paul Park, MN 55071-1436 2007-03-16
1518422757 Gentle Comfort Home Care LLC In Home Supportive Care 1115 Summit Ave, Saint Paul Park, MN 55071-1443 2019-02-01
1902403942 Kaitlyn Pijanowski Counselor 445 Broadway Ave Ste A, St Paul Park, MN 55071-1554 2020-10-02
1053824391 Nikki Donnella Divirgilio Social Worker 445 Broadway Ave Ste A, St Paul Park, MN 55071-1554 2017-11-08
1457724205 Brave Soul Counseling Services Marriage & Family Therapist 445 Broadway Ave Ste A, St Paul Park, MN 55071-1554 2015-11-02
1720402621 Natural Science Academy Local Education Agency (LEA) 920 Holley Ave Ste 3, St Paul Park, MN 55071-1558 2014-02-12
1811330103 Gia Rendon Physician Assistant 301 Saint Paul Park Rd, St Paul Park, MN 55071-1583 2013-04-17
1548595465 The Milton Home Respite Care 1305 6th St, St Paul Park, MN 55071-1640 2009-10-09
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902403942 Kaitlyn Pijanowski Counselor 445 Broadway Ave Ste A, St Paul Park, MN 55071-1554 2020-10-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376144188 Bonnie Rose Theis Counselor 24 3rd Ave Ne, Unit B, Osseo, MN 55369 2020-11-06
1578162012 Bemidji Autism and Children's Therapy LLC Counselor 522 Beltrami Ave Nw Ste 110, Bemidji, MN 56601-3002 2020-10-24
1235746579 Kesha L Bradford Counselor 4315 Irving Ave N, Minneapolis, MN 55412-1258 2020-09-30
1386251163 Jeffrey D Larson, LLC Counselor 11735 90th Ave, Milaca, MN 56353-3894 2020-09-25
1407462849 Anthony Arthur Duhn Counselor 6160 Summit Dr N Ste 375, Brooklyn Center, MN 55430-2251 2020-09-21
1043826746 Amanda Anderson Counselor 3201 1st Ave S, Minneapolis, MN 55408-4407 2020-09-17
1720694722 Eleanor (ellie) Freerksen Counselor 3 3rd Ave Sw, Dodge Center, MN 55927 2020-09-16
1033724356 Carmen Iverson Counselor 13401 Morgan Ave S Apt 133, Burnsville, MN 55337-2058 2020-09-14
1235744640 Paige Berg Counselor 6053 Hudson Rd Ste 344, Woodbury, MN 55125-1011 2020-09-11
1508479700 Roy Haddad Counselor 5861 Cedar Lake Rd, St Louis Park, MN 55416-1653 2020-08-26
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Competitor

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City ST PAUL PARK
Zip Code 55071

Improve Information

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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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