Krista Marie Jorgenson, MA, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1625 Issued in MN

Practice address

708 N 1St St Ste 242
Minneapolis, MN 55401-1145

Phone

(507) 208-3504

NPI assigned

Sep 8, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Numa Psychotherapy PLLCGroup PAC ID 2860927514, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Numa Psychotherapy PLLC

  • Professional Counselor
  • Minneapolis, MN
  • NPI 1124500855
  Medicare reassignment Care Compare group NPD Authorized official
• Birch Counseling, PLLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Minnetonka, MN
  • NPI 1598186330
  NPD (past)

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504828800000",
    "number": "1114445210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 N 1ST ST STE 242",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011145",
            "telephone_number": "507-208-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 N 1ST ST STE 242",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011145",
            "telephone_number": "507-208-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSON",
        "first_name": "KRISTA",
        "middle_name": "MARIE",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2017-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "1625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryce Jorgensen, DO
• Diane Marie Jorgensen, LICSW
• Hannah Marie Jorgensen, PA-C
• Kristin Leigh Jorgensen, LICSW
• Rebecca May Jorgensen
• Shandi Marie Jorgenson, MA, LPCC
• Jessica Joriman, LADC
• Susan Jane Jorstad, M.S.W
• Nancy Joseph-Goldfarb, LGSW
• Alessandra Nicole Joseph

• Mental Health Counselor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.