Active NPI
Jessica Kappelman, LCSW
- Clinical Social Worker
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 30934
- Practice address
- 2925 Chicago Ave
Minneapolis, MN 55407-1321 - Phone
- (612) 262-9000
- NPI assigned
- Oct 14, 2020
- Last updated
- Nov 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | BBH-LCSW-LIC-44239 | MT | |
| Clinical Social Worker | 1041C0700X | 30934 | MN | Primary |
Addresses
Primary practice location
2925 Chicago Ave
Minneapolis, MN 55407-1321
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000
Other practice location 1
2724 University Ave SE Ste B
Minneapolis, MN 55414-3210
Phone (612) 299-1090
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jkappelman662566@excellian.direct.allina.com | Direct |
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 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2179 4TH St
Suite 2F
White Bear Lake, MN 55110-3041
Phone (651) 360-1995
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (866) 603-0016
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LCSW-LIC-44239 | MT | MD | Clinical Social Worker |
| 30934 | MN | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Momenta Mental Health | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Lake and Valley Family Therapy LLC | Clinical | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients |
Locations
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
2179 4th St
Ste 2F
White Bear Lake, MN 55110
Phone (651) 360-1995
Interoperability endpoints
- jkappelman662566@excellian.direct.allina.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Allina Health Annandale Clinic
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
- Marriage & Family Therapist
- White Bear Lake, MN
- NPI 1578262333
Clinical
-
dba Courage Kenny Rehabilitation Associates
- Physical Medicine & Rehabilitation Physician
- Coon Rapids, MN
- NPI 1770034670
-
dba Allina Health TeleRheumatology
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Adolescent and Children Mental Health Clinic/Center
- White Bear Lake, MN
- NPI 1215692785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1346848199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321",
"telephone_number": "612-262-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321",
"telephone_number": "612-262-9000"
}
],
"practiceLocations": [
{
"address_1": "2724 University Ave SE Ste B",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554143210",
"country_code": "US",
"telephone_number": "612-299-1090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAPPELMAN",
"first_name": "JESSICA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-14",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "BBH-LCSW-LIC-44239",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "30934",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jkappelman662566@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "2925 Chicago Ave",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554071321",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.