JESSICA JOHANNES (NPI# 1750843785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750843785 |
| Entity Type | Individual |
| Full Name | JESSICA JOHANNES |
| Credential | MA, LPCC, LADC |
| Practice Address |
7580 160th St W Lakeville MN 55044-8348 |
| Mailing Address |
4 Promise Blvd Hudson WI 54016-8722 |
| Practice Telephone | 6129190774 |
| Mailing Telephone | 6129190774 |
| Enumeration Date | 2019-03-31 |
| Last Update Date | 2019-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
304672 | MN | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CC02086 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4 Promise Blvd, Hudson, WI 540168722 | 6129190774 |
| Street Address |
7580 160TH ST W |
| City | LAKEVILLE |
| State | MN |
| Zip Code | 55044-8348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336231620 | Michelle Frauenshuh | Marriage & Family Therapist | 7580 160th St W, Lakeville, MN 55044-8348 | 2006-09-28 |
| 1083215420 | Alison Wulf | Counselor | 7580 160th St W, Lakeville, MN 55044-8348 | 2020-11-03 |
| 1013539881 | Jennifer Tessness | Counselor | 7580 160th St W, Lakeville, MN 55044-8348 | 2020-05-14 |
| 1336768738 | Jocelyn Kehr Sparby | Counselor | 7580 160th St W, Lakeville, MN 55044-8348 | 2020-04-15 |
| 1346871944 | Kimberly Ann Shepherd | Social Worker | 7580 160th St W, Lakeville, MN 55044-8348 | 2020-02-01 |
| 1508405879 | Mallory Kurkosky | Counselor | 7580 160th St W, Lakeville, MN 55044-8348 | 2020-01-03 |
| 1184261059 | Laura Jane Lambert | Counselor | 7580 160th St W, Lakeville, MN 55044-8348 | 2019-12-10 |
| 1598313223 | Emily Schmidt | Counselor | 7580 160th St W, Lakeville, MN 55044-8348 | 2019-08-27 |
| 1659928125 | Sara Nicole Pogue | Social Worker | 7580 160th St W, Lakeville, MN 55044-8348 | 2019-08-20 |
| 1174182984 | Philip Burton | Counselor | 7580 160th St W, Lakeville, MN 55044-8348 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518528397 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | Fairview Lakeville Clinic Mtm, 18580 Joplin Ave, Lakeville, MN 55044 | 2019-06-24 |
| 1164922373 | Invigorate Chiropractic, Pa | Chiropractor | 18449 Orchard Trail, Lakeville, MN 55044 | 2018-02-14 |
| 1275046344 | Kevin Schultz | Chiropractor | 18449 Orchard Tr, Lakeville, MN 55044 | 2017-11-13 |
| 1518487263 | Katarina Klementina Foster | Dentist | 16138 Pilot Knob Rd, Lakeville, MN 55044 | 2017-06-23 |
| 1275069676 | Alison Marie Weaver | Physical Therapist | 17599 Kenwood Trl Ste 200, Lakeville, MN 55044 | 2017-05-04 |
| 1184177479 | Megan Erickson | Physical Therapist | 21034 Heron Way Ste 102, Lakeville, MN 55044 | 2016-08-03 |
| 1669827523 | Kristine Louise Duhamel | Nurse Practitioner | 18275 Kenrick Avenue, Lakeville, MN 55044 | 2016-04-28 |
| 1003281536 | Heather Leann Wegner | Counselor | 16233 Kenyon Ave, Lakeville, MN 55044 | 2015-12-09 |
| 1982081295 | Dana Bungert | Specialist/Technologist | 11060 Upper 167th St W, Lakeville, MN 55044 | 2015-05-06 |
| 1265834931 | Kayla Schulz | Counselor | 7535 165th St West, Lakeville, MN 55044 | 2014-09-24 |
| Find all providers in zip 55044 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740838556 | Rachel M Moniz | Counselor | 31 Clear Pond Rd, Lakeville, MA 02347-1332 | 2019-08-27 |
| 1093377673 | Linda Geary | Counselor | 109 Rhode Island Rd Ste A, Lakeville, MA 02347-1370 | 2019-07-03 |
| 1699286047 | Christine H. Cronin, Lmhc, LLC | Counselor | 111 Highland Rd, Lakeville, MA 02347-1880 | 2017-10-12 |
| 1902261993 | Rhiannon Jackson | Counselor | 1 Mayflower Rd, Lakeville, MA 02347-2503 | 2015-12-18 |
| 1265834931 | Kayla Schulz | Counselor | 7535 165th St West, Lakeville, MN 55044 | 2014-09-24 |
| 1174930036 | Christine H. Cronin | Counselor | 46 Baker Ln, Lakeville, MA 02347-2283 | 2014-07-11 |
| 1194162776 | Ann Catherine Meehan | Counselor | 7580 160th St. W, Lakeville, MN 55044-8348 | 2013-05-23 |
| 1013293158 | Anna Marie Groen | Counselor | 7580 160th St. W., Lakeville, MN 55044 | 2011-11-02 |
| 1508032392 | Steven R Joubert | Counselor | 26 Freetown St, Lakeville, MA 02347-2251 | 2008-05-01 |
| 1881800167 | Janice Lanay Iverson | Counselor | 8500 210th St W, 140 I, Lakeville, MN 55044-5707 | 2007-05-15 |
| Find all providers in LAKEVILLE | ||||
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| 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.