Individual provider Active NPI

Jennifer Dalsveen Greseth

  • Marriage & Family Therapist
  • Chaska, MN
National Provider Identifier
1043986706
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3621 Issued in MN
Practice address
1107 Hazeltine Boulevard
Suite 496, MD 45
Chaska, MN 55318
Phone
(952) 240-3334
NPI assigned
Aug 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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 3621 MN Primary

Addresses

Primary practice location

1107 Hazeltine Boulevard
Suite 496, MD 45
Chaska, MN 55318

Mailing address

1107 Hazeltine Boulevard
Suite 496, MD 45
Chaska, MN 55318-4301
Phone (952) 240-3334

Other practice location 1

3470 Washington Dr Ste 216
Eagan, MN 55122-1354
Phone (612) 581-2364

Other names 1

  • Jennifer Ann Dalsveen Former name

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
I20241219000911 MN Practitioner - Marriage and Family Therapist 6901333616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inmind HealthGroup PAC ID 3375989288, 8 clinicians

Practice addresses (Care Compare)

1107 Hazeltine Blvd
Suite 496
Chaska, MN 55318-1000
Phone (952) 295-8831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inmind Health, LLC Marriage & Family Therapist CurrentSince Jan 1, 2025 Accepting new patients

Locations

1107 Hazeltine Blvd
Ste 496
Chaska, MN 55318
Phone (952) 240-3334

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1043986706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 HAZELTINE BOULEVARD",
            "address_2": "SUITE 496, MD 45",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553184301",
            "telephone_number": "952-240-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 HAZELTINE BOULEVARD",
            "address_2": "SUITE 496, MD 45",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "55318",
            "telephone_number": "952-240-3334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3470 Washington Dr Ste 216",
            "address_purpose": "LOCATION",
            "city": "Eagan",
            "state": "MN",
            "postal_code": "551221354",
            "country_code": "US",
            "telephone_number": "612-581-2364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRESETH",
        "first_name": "JENNIFER",
        "middle_name": "DALSVEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DALSVEEN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chaska, MN

Sources for this page

Verify at the official NPI Registry.