Jessica L Hart, LADC-S

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

304845 Issued in MN

Practice address

8590 Edinburgh Center Dr
Brooklyn Park, MN 55443-3723

Phone

(763) 425-5959

Fax

(763) 425-5929

NPI assigned

May 21, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hennepin Home Health Care, Inc.

  • Home Health Agency
  • Brooklyn Park, MN
  • NPI 1275523953
  NPD (past)

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1255170155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8590 EDINBURGH CENTER DR",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433723",
            "telephone_number": "612-462-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8590 EDINBURGH CENTER DR",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433723",
            "telephone_number": "763-425-5959",
            "fax_number": "763-425-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "LADC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harmony Adult Day Care Service LLC
• Harmony Group Home LLC
• Harmony Living Health Care Services
• Harra Home LLC
• Markayne Lacy Harris, PMHNP-BC
• Habiba Hashi
• Ahmed Abdiqadir Hassan
• Samiro Hassan
• Jenna Grace Hatcher
• Beau Haugrud

• Addiction (Substance Use Disorder) Counselor in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.