Individual provider Active NPI

Jeannine Marie Batchelder

  • Marriage & Family Therapist
  • Apple Valley, MN
National Provider Identifier
1306465596
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3999 Issued in MN
Practice address
7300 147TH St W Ste 204
Apple Valley, MN 55124-7850
Phone
(952) 997-3020
Fax
(952) 997-3729
NPI assigned
Apr 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3999 MN Primary

Addresses

Primary practice location

7300 147TH St W Ste 204
Apple Valley, MN 55124-7850

Mailing address

1717 Evergreen Dr
Woodbury, MN 55125-3366
Phone (651) 425-0597

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbatchelder@nystromcounseling.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240119003712 MN Practitioner - Marriage and Family Therapist 9739531229 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eagan Counseling ClinicGroup PAC ID 2860304045, 62 clinicians

Practice addresses (Care Compare)

3450 Oleary LN
Eagan, MN 55123-2340
Phone (651) 454-0114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3999MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tamera Mensink TM Counseling LLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
Nystrom & Associates, LTD Marriage & Family Therapist CurrentSince Jun 1, 2026 Accepting new patients

Locations

7600 143rd St W
Ste 300
Apple Valley, MN 55124
Phone (651) 373-9440

6936 Pine Arbor Dr S
Ste 200
Cottage Grove, MN 55016
Phone (651) 461-2903

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1306465596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 EVERGREEN DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253366",
            "telephone_number": "651-425-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 147TH ST W STE 204",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247850",
            "telephone_number": "952-997-3020",
            "fax_number": "952-997-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATCHELDER",
        "first_name": "JEANNINE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbatchelder@nystromcounseling.com",
            "affiliation": "N",
            "address_1": "7300 147th St W Ste 204",
            "city": "Apple Valley",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551247850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

Verify at the official NPI Registry.