Active NPI
Jamie Lee Rieser, MS
- Marriage & Family Therapist
- New Ulm, MN
National Provider Identifier
1053425751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1673
- Practice address
- 9 1/2 N Minnesota St
New Ulm, MN 56073-1727 - Phone
- (507) 354-0248
- Fax
- (507) 354-0251
- NPI assigned
- Aug 18, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC00333 | MN | |
| Marriage & Family Therapist | 106H00000X | 1673 | MN | Primary |
Addresses
Primary practice location
9 1/2 N Minnesota St
New Ulm, MN 56073-1727
Mailing address
PO Box 963
New Ulm, MN 56073-0963
Phone (507) 354-0248
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 375KORI | Other | MN | BLUE CROSS BLUE SHIELD |
| 136390 | Other | MN | UCARE |
| 1045142 | Other | MN | PREFERRED ONE |
| HP54403 | Other | MN | HEALTH PARTNERS |
Other names 1
- Ms. Jamie Lee Sullivan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 4, 2024 through Oct 4, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC00333 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1053425751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 963",
"city": "NEW ULM",
"state": "MN",
"postal_code": "560730963",
"telephone_number": "507-354-0248",
"fax_number": "507-354-0251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 1/2 N MINNESOTA ST",
"city": "NEW ULM",
"state": "MN",
"postal_code": "560731727",
"telephone_number": "507-354-0248",
"fax_number": "507-354-0251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIESER",
"first_name": "JAMIE",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC00333",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1673",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "375KORI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "136390",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1045142",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP54403",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "SULLIVAN",
"middle_name": "LEE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in New Ulm, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.