Jessica C McBride Pauna, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

01586 Issued in MN

Practice address

2356 University Ave W Ste 210
Saint Paul, MN 55114-1800

Phone

(651) 242-5548

Fax

(651) 242-5548

NPI assigned

Oct 24, 2017

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Affinity Psychological Services, P.C.

  • Mental Health Counselor
  • Edina, MN
  • NPI 1245610856
  Medicare reassignment NPD

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1215449756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 JAMESON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031447",
            "telephone_number": "612-867-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 UNIVERSITY AVE W STE 210",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141800",
            "telephone_number": "651-242-5548",
            "fax_number": "651-242-5548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3705 Park Center Blvd",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "554162504",
            "country_code": "US",
            "telephone_number": "952-926-5626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCBRIDE PAUNA",
        "first_name": "JESSICA",
        "middle_name": "C",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "01586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Carole McAlees-Callanan
• Sue Marie McAnally, LPN
• Emily McArdle
• Bruce G McBeath, PH.D.
• Jennifer McBride McNamara, M.A., LAMFT
• John W McBride, MD
• Rael McBride, LPCC
• Theresa Concetta McBroom, P.T.
• Karie Middleton McCabe, PSY.D., L.P.
• Robert P McCabe Jr., MD

• Mental Health Counselor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.