Active NPI
Jennifer Karin Londgren, MS, LMFT, NCC
- Marriage & Family Therapist
- Mankato, MN
National Provider Identifier
1235564238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2507
- Practice address
- 515 N Riverfront Dr
Suite 220
Mankato, MN 56001-3471 - Phone
- (800) 438-1772
- Fax
- (262) 345-5531
- NPI assigned
- Sep 9, 2013
- Sex
- Female
- Sole proprietor
- No
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Germantown, WI
- NPI 1083786628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisconsin Lutheran Child and Family Service Inc | Past | Accepting new patients |
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2507 | MN | |
| Mental Health Counselor | 101YM0800X | 2507 | MN | |
| Marriage & Family Therapist | 106H00000X | 2507 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
515 N Riverfront Dr
Suite 220
Mankato, MN 56001-3471
Mailing address
W175N11120 Stonewood Dr
Germantown, WI 53022-6511
Phone (800) 438-1772
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235564238 | Medicaid | MN | |
| 2507 | Other | MN | LICENSE NUMBER |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 11, 2014.
{
"created_epoch": "1378684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397174400000",
"number": "1235564238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W175N11120 STONEWOOD DR",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530226511",
"telephone_number": "800-438-1772",
"fax_number": "262-345-5531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 N RIVERFRONT DR",
"address_2": "SUITE 220",
"city": "MANKATO",
"state": "MN",
"postal_code": "560013471",
"telephone_number": "800-438-1772",
"fax_number": "262-345-5531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONDGREN",
"first_name": "JENNIFER",
"middle_name": "KARIN",
"credential": "MS, LMFT, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-09",
"last_updated": "2014-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MN",
"license": "2507",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "2507",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "2507",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235564238",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "2507",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.