Organization Active NPI

JPW Counseling & Consultation

  • Clinical Social Worker
  • Duluth, MN
National Provider Identifier
1063915239
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JPW COUNSELING & CONSULTATION
Practice address
302 W Superior St Ste 508
Duluth, MN 55802
Phone
(218) 260-9237
NPI assigned
Mar 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jake Pierce-Walsh, MSW, LICSW
Title
Owner/Provider
Phone
(218) 343-3406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

302 W Superior St Ste 508
Duluth, MN 55802

Mailing address

302 W Superior St Ste 508
Duluth, MN 55802-5115
Phone (218) 343-3406

National Provider Directory

National Provider Directory

Locations

302 W Superior St
Ste 508
Duluth, MN 55802
Phone (218) 343-3406

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1063915239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W SUPERIOR ST STE 508",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558025115",
            "telephone_number": "218-343-3406",
            "fax_number": "218-409-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W SUPERIOR ST STE 508",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55802",
            "telephone_number": "218-260-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPW COUNSELING & CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "PIERCE-WALSH",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "218-343-3406",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.