Jan Jirak, MALP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LP3585 Issued in MN

Practice address

314 Clifton Ave Ste 303
Minneapolis, MN 55403-3376

Phone

(952) 985-1097

NPI assigned

Sep 20, 2006

Last updated

Sep 10, 2007By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jan Jirak, Ma,LP,PLLC

  • Counseling Psychologist
  • Minneapolis, MN
  • NPI 1922293265
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1407954753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 CLIFTON AVE STE 303",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033376",
            "telephone_number": "952-985-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 CLIFTON AVE STE 303",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033376",
            "telephone_number": "952-985-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIRAK",
        "first_name": "JAN",
        "credential": "MALP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP3585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154319900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Rae Jimenez, PA-C
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• Ornanong Jirapongsananurak, DDS
• Karina Joanne Jirik, AUD
• JJ Health Services LLC
• JJS Optical LLC (Dinkytown Optical)

• Counseling Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.