Jenna Marie Leirmoe, MS, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC01824 Issued in MN

Practice address

38878 12TH Ave
North Branch, MN 55056

Phone

(612) 406-4469

NPI assigned

Jun 27, 2018

Last updated

Jun 28, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Living Well Counseling, LLC

  • Professional Counselor
  • Elk River, MN
  • NPI 1356956205

  Mental Health

  Medicare reassignment NPD
• Intuitive Therapy & Consulting, LLC

  • Marriage & Family Therapist
  • Golden Valley, MN
  • NPI 1346607108
  NPD (past)

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1134614506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38878 12TH AVE",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566658",
            "telephone_number": "612-406-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38878 12TH AVE",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "55056",
            "telephone_number": "612-406-4469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 Freeport Ave NW",
            "address_purpose": "LOCATION",
            "city": "Elk River",
            "state": "MN",
            "postal_code": "553301873",
            "country_code": "US",
            "telephone_number": "763-441-1578 x4",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38878 12th Ave",
            "address_purpose": "LOCATION",
            "city": "North Branch",
            "state": "MN",
            "postal_code": "55056",
            "country_code": "US",
            "telephone_number": "612-406-4469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8085 Wayzata Blvd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Golden Valley",
            "state": "MN",
            "postal_code": "554261457",
            "country_code": "US",
            "telephone_number": "612-406-4469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEIRMOE",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "credential": "MS, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC01824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in North Branch, MN
• Providers in North Branch, 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 Jun 28, 2019; 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.