Individual provider Active NPI

Jessica Pusc, M.A., LMFT

  • Marriage & Family Therapist
  • Monticello, MN
National Provider Identifier
1194133116
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2929 Issued in MN
Practice address
1262 Cedar St
Monticello, MN 55362-8913
Phone
(763) 732-3351
Fax
(763) 322-5026
NPI assigned
Jul 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2929 MN Primary

Addresses

Primary practice location

1262 Cedar St
Monticello, MN 55362-8913

Mailing address

1262 Cedar St
Monticello, MN 55362-8913
Phone (763) 732-3351

Other names 1

  • Jessica Baxter-Jensen Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 9, 2024 through Feb 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Moments Counseling LLC CurrentSince Nov 3, 2024 Accepting new patients

Locations

1262 Cedar St
Monticello, MN 55362
Phone (763) 567-3746

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1194133116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 CEDAR ST",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628913",
            "telephone_number": "763-732-3351",
            "fax_number": "763-322-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 CEDAR ST",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628913",
            "telephone_number": "763-732-3351",
            "fax_number": "763-322-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSC",
        "first_name": "JESSICA",
        "credential": "M.A., LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BAXTER-JENSEN",
            "credential": "M.A., LAMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Monticello, MN

Sources for this page

Verify at the official NPI Registry.