Jebediah Joel Sawyer, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1449 Issued in MN

Practice address

4820 Minnetonka Blvd Ste 411
St Louis Park, MN 55416-5710

Phone

(612) 483-4994

NPI assigned

Jun 22, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Relationship Therapy Center PC

  • Marriage & Family Therapist
  • Saint Louis Park, MN
  • NPI 1376687285
  Medicare reassignment NPD

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1376770941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 MINNETONKA BLVD APT 308",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165417",
            "telephone_number": "612-483-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 MINNETONKA BLVD STE 411",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165710",
            "telephone_number": "612-483-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWYER",
        "first_name": "JEBEDIAH",
        "middle_name": "JOEL",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "00232",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "154H5BE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabrielle C Saunders, NP
• Monique Dashawn Saunders
• Tina Saunders, MA, LMFT
• Amy L Sauter, RD
• Neil J Sauter, DPT
• Martha Kristin Sawyer, OTR/L
• Kharmen Saysirisanh
• SBTV LLC
• Kelly Ann Yaeger Scalzo
• Erin Marie Scanlon

• All providers in St Louis Park, MN
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.