Individual provider Active NPI

Michael Anthony Jeska

  • Counselor
  • Brooklyn Park, MN
National Provider Identifier
1073486320
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
6800 78TH Ave N
Brooklyn Park, MN 55445-2758
Phone
(612) 924-3807
Fax
(612) 314-0350
NPI assigned
Sep 24, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MN Primary

Addresses

Primary practice location

6800 78TH Ave N
Brooklyn Park, MN 55445-2758

Mailing address

6800 78TH Ave N
Brooklyn Park, MN 55445-2758
Phone (612) 924-3807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1073486320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 78TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452758",
            "telephone_number": "612-924-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 78TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452758",
            "telephone_number": "612-924-3807",
            "fax_number": "612-314-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESKA",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-24",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.