Individual provider Active NPI

Jennifer Mary Bischoff, LMFT

  • Marriage & Family Therapist
  • Sauk Rapids, MN
National Provider Identifier
1013210558
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1969 Issued in MN
Practice address
2 2ND Ave S Ste 160
Sauk Rapids, MN 56379-1425
Phone
(320) 425-0300
Fax
(320) 425-0400
NPI assigned
Dec 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1969 MN Primary

Addresses

Primary practice location

2 2ND Ave S Ste 160
Sauk Rapids, MN 56379-1425

Mailing address

2 2ND Ave S Ste 160
Sauk Rapids, MN 56379-1425
Phone (320) 425-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240912001419 MN Practitioner - Marriage and Family Therapist 3375083777 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1969MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Changing Pathways LLC Marriage & Family Therapist CurrentSince Jan 2, 2024 Accepting new patients
True Balance LTD Marriage & Family Therapist PastSince May 20, 2008 Accepting new patients

Locations

2 2nd Ave S
Ste 160
Sauk Rapids, MN 56379
Phone (320) 425-0300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1013210558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 2ND AVE S STE 160",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563791425",
            "telephone_number": "320-425-0300",
            "fax_number": "320-425-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 2ND AVE S STE 160",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563791425",
            "telephone_number": "320-425-0300",
            "fax_number": "320-425-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISCHOFF",
        "first_name": "JENNIFER",
        "middle_name": "MARY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sauk Rapids, MN

Sources for this page

Verify at the official NPI Registry.