Individual provider Active NPI

Jessica Marie Barnes, LPCC

  • Mental Health Counselor
  • Minneapolis, MN
National Provider Identifier
1134581218
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC01168 Issued in MN
Practice address
100 Washington Ave S Ste 900
Minneapolis, MN 55401-2455
Phone
(800) 925-3368
NPI assigned
Mar 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC01168 MN Primary

Addresses

Primary practice location

100 Washington Ave S Ste 900
Minneapolis, MN 55401-2455

Mailing address

100 Washington Avenue S
900
Minneapolis, MN 55401

Other practice location 1

576 Bielenberg Dr
#250
Woodbury, MN 55125-1734
Phone (651) 645-5323 ext. 2317

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

State licenses

LicenseStateTypeSpecialty
CC01168MNMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1134581218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WASHINGTON AVENUE S",
            "address_2": "900",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WASHINGTON AVE S STE 900",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554012455",
            "telephone_number": "800-925-3368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "576 Bielenberg Dr",
            "address_2": "#250",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551251734",
            "country_code": "US",
            "telephone_number": "651-645-5323 x2317",
            "fax_number": "651-348-3355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC01168",
            "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 Mar 17, 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.