Organization Active NPI

Olivia Jewett Therapy, LLC.

  • Marriage & Family Therapist
  • Edina, MN
National Provider Identifier
1255704490
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
OLIVIA JEWETT THERAPY, LLC.
Practice address
5200 Wilson Rd.
Suite 450
Edina, MN 55424-1396
Phone
(320) 492-3298
NPI assigned
Nov 10, 2015
Last updated
Feb 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Authorized official

Name
Olivia Ingalls JewettNPI 1255720496
Title
Owner
Phone
(320) 492-3298

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 Therapist 106H00000X Primary

Addresses

Primary practice location

5200 Wilson Rd.
Suite 450
Edina, MN 55424-1396

Mailing address

7525 Mitchell Rd
Suite 310
Eden Prairie, MN 55344-1959
Phone (320) 492-3298

Other practice location 1

7525 Mitchell Rd
Suite 310
Eden Prairie, MN 55344-1959
Phone (320) 492-3298

National Provider Directory

National Provider Directory

Locations

7525 Mitchell Rd
Ste 310
Eden Prairie, MN 55344
Phone (952) 224-9880

5200 Willson Rd
Ste 450
Edina, MN 55424
Phone (320) 492-3298

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1255704490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 MITCHELL RD",
            "address_2": "SUITE 310",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553441959",
            "telephone_number": "320-492-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 WILSON RD.",
            "address_2": "SUITE 450",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241396",
            "telephone_number": "320-492-3298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7525 Mitchell Rd",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553441959",
            "country_code": "US",
            "telephone_number": "320-492-3298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OLIVIA JEWETT THERAPY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "JEWETT",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "INGALLS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-492-3298"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.