Jennifer L. John, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2246 Issued in MN

Practice address

4700 Lexington Ave N Ste B
Shoreview, MN 55126-5964

Phone

(651) 421-0815

Fax

(877) 940-2919

NPI assigned

Feb 19, 2013

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

Other identifiers 1

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.

• Keystone Counseling and Consulting Services, LLC

  • Marriage & Family Therapist
  • Shoreview, MN
  • NPI 1114784584
  NPD Authorized official

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1174863716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 LEXINGTON AVE N STE B",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551265964",
            "telephone_number": "651-421-0815",
            "fax_number": "877-940-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 LEXINGTON AVE N STE B",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551265964",
            "telephone_number": "651-421-0815",
            "fax_number": "877-940-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114784584",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Elisabeth Ivey, D.C.
• Dana Nassir Jama
• Yasmin Nassir Jama
• Vaughn Robert Jefferson Jr., PSY.D.
• Richard W Jensen, D.C.
• Spencer John, D.C.
• Bethany Grace Johnson, PHARM.D
• David H Johnson, D.D.S.
• Elise H Johnson, M.D.
• Julie Johnson, CCC-SLP

• Marriage & Family Therapist in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2024; 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.