Individual provider Active NPI

Jill Pritchard, LMFT

  • Marriage & Family Therapist
  • Lakeville, MN
National Provider Identifier
1033500905
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2639 Issued in MN
Practice address
15035 165TH St. W.
Lakeville, MN 55044-1185
Phone
(952) 435-0022
NPI assigned
Feb 12, 2015
Last updated
Oct 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241018003752 MN Practitioner - Marriage and Family Therapist 3678005378 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2639MNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairweather Investments, LLC CurrentSince Apr 1, 2024 Accepting new patients
Lakeville Behavioral Health, LLC PastSince Oct 1, 2024 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.

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

Verify at the official NPI Registry.