Jessica Jean Warner, LICSW, CCPT

Primary specialty

CounselorTaxonomy code 101Y00000X

License

24652 Issued in MN

Practice address

2265 Como Ave
Saint Paul, MN 55108-1737

Phone

(888) 364-5977

Fax

(651) 621-8490

NPI assigned

Dec 3, 2020

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

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1265037626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 FOX RIDGE DR APT D",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183974",
            "telephone_number": "321-525-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 COMO AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081737",
            "telephone_number": "888-364-5977",
            "fax_number": "651-621-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "JESSICA",
        "middle_name": "JEAN",
        "credential": "LICSW, CCPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MN",
            "license": "24652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.emilyprogram.com/contact-us/",
            "affiliation": "Y",
            "endpointDescription": "Contact page for The Emily Program",
            "affiliationName": "Emily Program PC",
            "address_1": "2230 Como Ave",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551081720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.emilyprogram.com/contact-us/",
            "affiliation": "Y",
            "endpointDescription": "Contact page for The Emily Program",
            "affiliationName": "Emily Program PC",
            "address_1": "2230 Como Ave",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551081720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.emilyprogram.com/contact-us/",
            "affiliation": "Y",
            "endpointDescription": "Contact page for The Emily Program",
            "affiliationName": "Emily Program PC",
            "address_1": "2230 Como Ave",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551081720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yasir Wardere
• Amina M Warfa, MD
• Erica Warffuel
• William Warmka, DPT
• Holly Warner, PHARMD
• Samantha Warner
• David Warnke
• Rachel B Warnsholz, PA-C
• Breanna Warraich
• Cailey Warren

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.