Active NPI
Jill Pritchard, LMFT
- Marriage & Family Therapist
- Lakeville, MN
National Provider Identifier
1033500905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2639
- Practice address
- 15035 165TH St. W.
Lakeville, MN 55044-1185 - Phone
- (952) 435-0022
- NPI assigned
- Feb 12, 2015
- Last updated
- Oct 11, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2639 | MN | Primary |
Addresses
Primary practice location
15035 165TH St. W.
Lakeville, MN 55044-1185
Mailing address
15035 165TH St. W.
Lakeville, MN 55044-1185
Phone (952) 435-0022
Other practice location 1
6001 Egan Dr
Savage, MN 55378-4921
Phone (952) 210-5850
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2639 | MN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairweather Investments, LLC | Current | Accepting new patients | |
| Lakeville Behavioral Health, LLC | Past | Accepting new patients |
Locations
10535 165th St W
Lakeville, MN 55044
Phone (952) 435-0022
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lakeville Behavioral Health
- Mental Health Counselor
- Lakeville, MN
- NPI 1982238770
-
- Cognitive & Behavioral Psychologist
- Lakeville, MN
- NPI 1750412680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539216000000",
"number": "1033500905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15035 165TH ST. W.",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550441185",
"telephone_number": "952-435-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15035 165TH ST. W.",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550441185",
"telephone_number": "952-435-0022"
}
],
"practiceLocations": [
{
"address_1": "6001 Egan Dr",
"address_purpose": "LOCATION",
"city": "Savage",
"state": "MN",
"postal_code": "553784921",
"country_code": "US",
"telephone_number": "952-210-5850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRITCHARD",
"first_name": "JILL",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-12",
"last_updated": "2018-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "2639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.