Organization Active NPI

Mariposa Consulting and Therapy

  • Professional Counselor
  • Minneapolis, MN
National Provider Identifier
1093249138
Registry record updated Apr 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC00972 Issued in MN
Legal business name
MARIPOSA CONSULTING AND THERAPY
Practice address
1406 W Lake St Ste 207
Minneapolis, MN 55408-2653
Phone
(612) 615-2700
NPI assigned
Apr 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2017

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

Authorized official

Name
Jamie Larson Jones, MS, LPCC
Title
Owner
Phone
(612) 615-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X CC00972 MN Primary

Addresses

Primary practice location

1406 W Lake St Ste 207
Minneapolis, MN 55408-2653

Mailing address

4405 Pleasant Ave
Minneapolis, MN 55419-4937
Phone (612) 615-2700

National Provider Directory

National Provider Directory

Locations

1406 W Lake St
Ste 207
Minneapolis, MN 55408
Phone (612) 615-2700

NPI Registry JSON

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

{
    "created_epoch": "1492214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492214400000",
    "number": "1093249138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 PLEASANT AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554194937",
            "telephone_number": "612-615-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 W LAKE ST STE 207",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082653",
            "telephone_number": "612-615-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIPOSA CONSULTING AND THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-15",
        "last_updated": "2017-04-15",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "LARSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-615-2700",
        "authorized_official_credential": "MS, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2017; 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.