Active NPI
Jennifer McVann, MS, LMFT
- Marriage & Family Therapist
- Plymouth, MN
National Provider Identifier
1154661833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2317
- Practice address
- 3370 Annapolis LN N Ste C
Plymouth, MN 55447-5384 - Phone
- (952) 270-3822
- Fax
- (612) 235-6447
- NPI assigned
- Feb 18, 2013
- Last updated
- Feb 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2317 | MN | Primary |
Addresses
Primary practice location
3370 Annapolis LN N Ste C
Plymouth, MN 55447-5384
Mailing address
3370 Annapolis LN N Ste C
Plymouth, MN 55447-5384
Phone (952) 270-3822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361145600000",
"number": "1154661833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3370 ANNAPOLIS LN N STE C",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554475384",
"telephone_number": "952-270-3822",
"fax_number": "612-235-6447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3370 ANNAPOLIS LN N STE C",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554475384",
"telephone_number": "952-270-3822",
"fax_number": "612-235-6447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCVANN",
"first_name": "JENNIFER",
"credential": "MS, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-18",
"last_updated": "2013-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "2317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.