Active NPI
Laura Ann Jaap, M.A., L.P.
- Counseling Psychologist
- Minnetonka, MN
National Provider Identifier
1033193172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3786
- Practice address
- 12301 Whitewater Dr Ste 101
Minnetonka, MN 55343-4157 - Phone
- (952) 999-6097
- Fax
- (952) 426-0508
- NPI assigned
- Dec 2, 2005
- Last updated
- Dec 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP3786 | MN | |
| Counseling Psychologist | 103TC1900X | 3786 | MN | Primary |
Addresses
Primary practice location
12301 Whitewater Dr Ste 101
Minnetonka, MN 55343-4157
Mailing address
12301 Whitewater Dr Ste 101
Minnetonka, MN 55343-4157
Phone (952) 999-6097
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033193172 | Medicaid | MN | |
| 946324100 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP3786 | MN | MD | Clinical Psychologist |
| 3786 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonder Behavioral Health & Wellness, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Minnetonka, MN
- NPI 1780031732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512086400000",
"number": "1033193172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12301 WHITEWATER DR STE 101",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553434157",
"telephone_number": "952-999-6097",
"fax_number": "952-426-0508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12301 WHITEWATER DR STE 101",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553434157",
"telephone_number": "952-999-6097",
"fax_number": "952-426-0508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAAP",
"first_name": "LAURA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "M.A., L.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-02",
"last_updated": "2017-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP3786",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "3786",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1033193172",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "946324100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.