Organization Active NPI

Jennie Hardman Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Paul, MN
National Provider Identifier
1013532514
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JENNIE HARDMAN THERAPY
Practice address
821 Raymond Ave Ste 315-B
Saint Paul, MN 55114-1503
Phone
(651) 243-0804
NPI assigned
Jun 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Jennie Backus Hardman, MSW, LICSW
Title
Therapist/Owner
Phone
(218) 213-7476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

821 Raymond Ave Ste 315-B
Saint Paul, MN 55114-1503

Mailing address

1008 Como PL
Saint Paul, MN 55103-1319
Phone (218) 213-7476

National Provider Directory

National Provider Directory

Locations

3503 Highpoint Dr N
Ste 230
Saint Paul, MN 55128
Phone (612) 787-7050

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1013532514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 COMO PL",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031319",
            "telephone_number": "218-213-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE STE 315-B",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141503",
            "telephone_number": "651-243-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIE HARDMAN THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2023-09-06",
        "certification_date": "2022-12-23",
        "status": "A",
        "authorized_official_last_name": "HARDMAN",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "BACKUS",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "218-213-7476",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.