Twin Cities Teen Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TWIN CITIES TEEN COUNSELING LLC

Practice address

2375 University Ave W Ste 160
Saint Paul, MN 55114-1632

Phone

(612) 548-4948

NPI assigned

Jan 16, 2019

Last updated

Jan 16, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Kortgard, LICSWNPI 1376911362

Title

Owner

Phone

(612) 548-4948

Specialties & licenses 1

Addresses

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.

• Jennifer Joy Kortgard, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1376911362

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1255805800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 N 4TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 UNIVERSITY AVE W STE 160",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141632",
            "telephone_number": "612-548-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES TEEN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "KORTGARD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-548-4948",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Twin Cities Mobile Chiropractic LLC
• Twin Cities Movement Chiropractic and Rehabilitation PSC
• Twin Cities Natural Family Planning Center (Twin Cities FertilityCare Center)
• Twin Cities Nursing Care, Inc
• Twin Cities Recuperative Care (Twin Cities CFSS Consultation Service)
• Twin City Acupuncture Center, Inc.
• Twin City Chemical Health Services, LLC
• Twin Citys Taxi Cab Serice Inc (All Somali Community of Worldwide Services)
• Twin Life Chiropractic P.a.
• Twin Town Treatment Center LLC (Eosis Twin Town)

• 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 Jan 16, 2019; 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.