Active NPI
Jean L Zenk, MS, LPCC, LADC, NCC
- Mental Health Counselor
- Mankato, MN
National Provider Identifier
1265720049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CC00325
- Practice address
- 12 Civic Center PLZ
Suite 2090
Mankato, MN 56001-7781 - Phone
- (507) 345-4679
- Fax
- (507) 345-8685
- NPI assigned
- Jul 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CC00325 | MN | Primary |
| Mental Health Counselor | 101YM0800X | 300589 | MN | |
| Mental Health Counselor | 101YM0800X | 57441 | MN | |
| Mental Health Counselor | 101YM0800X | 5464 | MN |
Addresses
Primary practice location
12 Civic Center PLZ
Suite 2090
Mankato, MN 56001-7781
Mailing address
12 Civic Center PLZ
Suite 2090
Mankato, MN 56001-7781
Phone (507) 345-4679
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 300589 | MN | MD | Mental Health Counselor |
| 57441 | MN | MD | Mental Health Counselor |
| CC00325 | MN | MD | Mental Health Counselor |
| 5464 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Addictions & Stress Clinic | Past | Accepting new patients | |
| Addictions and Stress Clinics LTD | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Mankato, MN
- NPI 1992085674
-
- Psychologist
- Mankato, MN
- NPI 1376820118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310601600000",
"number": "1265720049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CIVIC CENTER PLZ",
"address_2": "SUITE 2090",
"city": "MANKATO",
"state": "MN",
"postal_code": "560017781",
"telephone_number": "507-345-4679",
"fax_number": "507-345-8685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 CIVIC CENTER PLZ",
"address_2": "SUITE 2090",
"city": "MANKATO",
"state": "MN",
"postal_code": "560017781",
"telephone_number": "507-345-4679",
"fax_number": "507-345-8685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZENK",
"first_name": "JEAN",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "MS, LPCC, LADC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-14",
"last_updated": "2011-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "CC00325",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "300589",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "57441",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "5464",
"primary": false
}
],
"identifiers": [],
"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 Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.