Active NPI
Jessica Pusc, M.A., LMFT
- Marriage & Family Therapist
- Monticello, MN
National Provider Identifier
1194133116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2929
- 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
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 | 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Moments Counseling LLC | Current | 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.
-
- Community/Behavioral Health Agency
- Monticello, MN
- NPI 1043505373
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.