Jessica Clark-Vail, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3862 Issued in MN

Practice address

8085 Wayzata Blvd Ste 203
Golden Valley, MN 55426-1461

Phone

(612) 226-3713

NPI assigned

Mar 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jess Vail Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Spoon Psychotherapy LLC

  • Community/Behavioral Health Agency
  • Roseville, MN
  • NPI 1972447241
  NPD Authorized official
• Psychotherapy & Healing Associates

  • Psychologist
  • St Louis Park, MN
  • NPI 1801028972
  NPD (past)

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

{
    "created_epoch": "1615680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615680000000",
    "number": "1013592716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 ARTHUR ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183062",
            "telephone_number": "612-226-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8085 WAYZATA BLVD STE 203",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261461",
            "telephone_number": "612-226-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK-VAIL",
        "first_name": "JESSICA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-14",
        "last_updated": "2021-03-14",
        "certification_date": "2021-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESS",
            "last_name": "VAIL",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Frederick Lewis Claussen, DC
• Leslie A Clayton, PA C
• Teri L Clayton, LMLP
• Clinical Benefit Group, Inc.

• All providers in Golden Valley, MN
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2021; 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.