Organization Active NPI

Marriage & Family Wellnes Center, Inc

  • Marriage & Family Therapist
  • Rochester, MN
National Provider Identifier
1205903812
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
175 Issued in MN
Legal business name
MARRIAGE & FAMILY WELLNES CENTER, INC
Practice address
2801 55TH St NW
Suite 2
Rochester, MN 55901-4187
Phone
(507) 288-3118
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David L Jamison, M.DIV, MS, D.MIN,NPI 1750387197
Title
Owner
Phone
(507) 288-3118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 175 MN Primary

Addresses

Primary practice location

2801 55TH St NW
Suite 2
Rochester, MN 55901-4187

Mailing address

2801 55TH St NW
Suite 2
Rochester, MN 55901-4187
Phone (507) 288-3118

Other identifiers 1

IdentifierTypeStateIssuer
1750387197OtherMN101YMO800X

National Provider Directory

National Provider Directory

Locations

2801 55th St NW
Ste 2
Rochester, MN 55901
Phone (507) 288-3118

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205903812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 55TH ST NW",
            "address_2": "SUITE 2",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559014187",
            "telephone_number": "507-288-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 55TH ST NW",
            "address_2": "SUITE 2",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559014187",
            "telephone_number": "507-288-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRIAGE & FAMILY WELLNES CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-288-3118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.DIV, MS, D.MIN,"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "101YMO800X",
            "identifier": "1750387197",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.