Stephanie M Jasper, PSYD, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP6739 Issued in MN

Practice address

7300 Metro Blvd Ste 400
Edina, MN 55439-2307

Phone

(612) 425-0094

NPI assigned

Dec 17, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Center for Collaborative Health PLLC

  • Counseling Psychologist
  • Edina, MN
  • NPI 1417328808
  NPD

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1164182192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 SALEM AVE",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161920",
            "telephone_number": "612-310-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 METRO BLVD STE 400",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392307",
            "telephone_number": "612-425-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASPER",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "PSYD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP6739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Jarnot, M.D.
• Maryann Wilhelmina Jarosz
• Kathryn Wieckowski Jarrett, M.D.
• Jacqueline Rose Jasken, LAMFT
• Oren Jaspan, MD
• Martin Javinsky, L.AC.
• Jay Mar Opticians, Inc
• Ravi Sankara Reddy Jayavarapu, MBBS MPH
• Jed James Psychotherapy
• Shannon Elaine Jedlicka, RD, LD

• Psychologist in Edina, MN
• Providers in Edina, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.