Active NPI
Jeffrey Pounds, LP
- Psychologist
- Pine City, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP 4626
- Practice address
- 220 Railroad St SE
Pine City, MN 55063-1540 - Phone
- (320) 629-7600
- Fax
- (320) 629-7900
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP 4626 | MN | Primary |
Addresses
Primary practice location
220 Railroad St SE
Pine City, MN 55063-1540
Mailing address
220 Railroad St SE
Pine City, MN 55063-1540
Phone (320) 629-7600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03N75PO | Other | MN | BCBS |
| HP 60172 | Other | MN | HEALTH PARTNERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8640 Eagle Creek Cir
Savage, MN 55378-4400
Phone (952) 746-7664
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.68 of 100
- Quality
- 89.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP 4626 | MN | MD | Psychologist |
| 4626 | MN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Psychologist | Current | Accepting new patients |
| River Valley Behavioral Health & Wellness Center, PLLC | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients |
Locations
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
8640 Eagle Creek Cir
Savage, MN 55378
Phone (952) 746-7664
Organizations & group practices 6
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.
-
- Counseling Psychologist
- Savage, MN
- NPI 1316197148
-
dba M Health Fairview Recovery Clinic
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
dba HealthEast Vadnais Heights Clinic
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
dba Fairview Sleep Centers - Princeton
- Family Medicine Physician
- Princeton, MN
- NPI 1841673647
-
dba HealthEast Professional Services
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
Psychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275552267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 RAILROAD ST SE",
"city": "PINE CITY",
"state": "MN",
"postal_code": "550631540",
"telephone_number": "320-629-7600",
"fax_number": "320-629-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 RAILROAD ST SE",
"city": "PINE CITY",
"state": "MN",
"postal_code": "550631540",
"telephone_number": "320-629-7600",
"fax_number": "320-629-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POUNDS",
"first_name": "JEFFREY",
"credential": "LP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP 4626",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "03N75PO",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP 60172",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pine City, MN
- Pine City Area Clinic
- Pine City Chiropractic PLLC (Northern Roots Chiropractic)
- Pine City Family Dental
- Pine Eye Associates, PA (Pine Eye Associates)
- Michaela Janssen Pohl, MA, LPCC
- Power Chairs and Scooter Store Medical Supply LLC (Forest Lake Medical Supply)
- Premier Chiropractic LLC
- Umair Rehman, MD
- Janice Reich, LMFT
- Linda M Richnofsky, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.