Jenna Kollmann, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

02093 Issued in MN

Practice address

1702 Miller Trunk Hwy Ste 209
Duluth, MN 55811-4448

Phone

(218) 524-8889

Fax

(218) 524-8890

NPI assigned

Jan 13, 2021

Last updated

Feb 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Duluth Graduate Medical Education Council IncGroup PAC ID 4385545953, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Duluth Graduate Medical Education Council Inc

  dba Duluth Family Medicine Clinic

  • Family Medicine Physician
  • Duluth, MN
  • NPI 1972585867
  Medicare reassignment Care Compare group NPD
• Accend Services Incorporated

  • Adult Mental Health Clinic/Center
  • Duluth, MN
  • NPI 1417023458
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  MN

  Medicare reassignment NPD
• Nystrom & Associates, LTD

  dba Sagent Behavioral Health

  • Clinical Social Worker
  • New Brighton, MN
  • NPI 1396750188
  NPD
• The Duluth Clinic, LTD.

  dba Essentia Health Hinckley Pharmacy

  • Community/Retail Pharmacy
  • Hinckley, MN
  • NPI 1245081066
  NPD (past)

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1376132415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 MILLER TRUNK HWY STE 209",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558114448",
            "telephone_number": "218-524-8889",
            "fax_number": "218-524-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 MILLER TRUNK HWY STE 209",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558114448",
            "telephone_number": "218-524-8889",
            "fax_number": "218-524-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLMANN",
        "first_name": "JENNA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "02093",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "02093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Koivisto-Goeppinger, LPCC
• Ross Aleksander Koivisto
• Gianna Paola Koker, SURGEON DENTIST
• Krishna Prasad Kolandaivel, M.D.
• Daniel Glen Kolenda, PA-C
• Joel David Kolmodin, MD
• Maria Kolojeski, D.O.
• Molly Kathryn Kolquist-Kucza, PSYD, LP
• Diane Mae Kolquist
• Kyle David Kolquist, DDS

• Professional Counselor in Duluth, MN
• Providers in Duluth, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.

Verify at the official NPI Registry.