Jennie C. Yngsdahl, MA, LPP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LPP0110 Issued in MN

Practice address

2431 Hennepin Ave
Minneapolis, MN 55405-2605

Phone

(612) 746-8526

NPI assigned

Sep 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jennie Yngsdahl Ma Licensed Psychologist LLCGroup PAC ID 1759727787, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Jennie Yngsdahl , Ma, Licensed Psychologist, LLC

  dba Center for Counseling and Wellness

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1417233701
  Medicare reassignment Care Compare group NPD Authorized official
• Neighborhood Involvement Program

  • Counselor
  • Minneapolis, MN
  • NPI 1912914037
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194821777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 COUNTY ROAD I",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540166915",
            "telephone_number": "715-386-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 HENNEPIN AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052605",
            "telephone_number": "612-746-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YNGSDAHL",
        "first_name": "JENNIE",
        "middle_name": "C.",
        "credential": "MA, LPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LPP0110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chun Wan Yin
• Yinghua Academy
• Kevin Yingling, MPS, LADC, LPCC
• Winnie Yip, PMHNP
• YMCA of the Greater Twin Cities
• Douglas Harold Yock Jr., M.D.
• Kirsten Lee Eckblad Yocum, PT
• Matthew David Yocum, M.D.
• Mollie Yocum, LICSW
• Sophia L Yohe, MD

• Counseling Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.