Individual provider Active NPI

CJ (Crystal) Jundt, DMFT

  • Marriage & Family Therapist
  • Woodbury, MN
National Provider Identifier
1316600273
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4224 Issued in MN
Practice address
10237 Grand Valley LN
Woodbury, MN 55129-4253
Phone
(701) 226-0608
NPI assigned
Oct 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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 4224 MN Primary

Addresses

Primary practice location

10237 Grand Valley LN
Woodbury, MN 55129-4253

Mailing address

10237 Grand Valley LN
Woodbury, MN 55129-4253
Phone (701) 226-0608

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
I20240214003943 MN Practitioner - Marriage and Family Therapist 2365886694 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Integrative Health LLC Marriage & Family Therapist CurrentSince Aug 11, 2024 Accepting new patients
Family Innovations, Inc. Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
West Central Counseling LLC Marriage & Family Therapist PastSince Jun 6, 2021 Accepting new patients

Locations

121 5th Ave W
Alexandria, MN 56308
Phone (320) 759-3096

1833 3rd Ave
Anoka, MN 55303
Phone (763) 421-5535

7525 Mitchell Rd
Ste 100
Eden Prairie, MN 55344
Phone (952) 224-2282

2103 County Road D E
Ste B
Saint Paul, MN 55109
Phone (651) 383-4800

6303 Osgood Ave N
Stillwater, MN 55082
Phone (651) 383-4800

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": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1316600273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10237 GRAND VALLEY LN",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551294253",
            "telephone_number": "701-226-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10237 GRAND VALLEY LN",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551294253",
            "telephone_number": "701-226-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNDT",
        "first_name": "CJ (CRYSTAL)",
        "name_prefix": "Dr.",
        "credential": "DMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.