Jessica Marie Ortis, MA, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC03011 Issued in MN

Practice address

1715 Sheppard Dr
Saint Peter, MN 56082-2539

Phone

(507) 934-7799

Fax

(507) 934-2594

NPI assigned

Nov 9, 2021

Last updated

Nov 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Leo a. Hoffmann Center, Inc.

  dba Hoffmann Counseling Services

  • Psychologist
  • Saint Peter, MN
  • NPI 1407376072
  NPD
• Leo a. Hoffmann Center, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Saint Peter, MN
  • NPI 1093876732
  NPD (past)

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1194481705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560820060",
            "telephone_number": "507-934-7799",
            "fax_number": "507-934-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 SHEPPARD DR",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560822539",
            "telephone_number": "507-934-7799",
            "fax_number": "507-934-2594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 S Minnesota Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Peter",
            "state": "MN",
            "postal_code": "560822524",
            "country_code": "US",
            "telephone_number": "507-934-7799",
            "fax_number": "507-934-2594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIS",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC03011",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC03011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Oie
• Samantha Olsen, OTD, OTR/L
• Taylor Olson Norgaard, PSY.D.
• Risper Onkoba, NP
• Tracy Lynn Opie
• Elizabeth J Osborne, MD
• Laurel Margaret Otis, PSYD, LP
• Heidi J. Otto, APRN, IBCLC, CNP
• Alexis May Pavey, FNP-C
• David Skylee Peal

• Professional Counselor in Saint Peter, MN
• Providers in Saint Peter, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.