Individual provider Active NPI

Jessica Marie Sauter

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1417414558
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3814 Issued in MN
Practice address
2120 Clinton Ave
Minneapolis, MN 55404-2649
Phone
(612) 791-2809
NPI assigned
Feb 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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 3814 MN Primary

Addresses

Primary practice location

2120 Clinton Ave
Minneapolis, MN 55404-2649

Mailing address

2120 Clinton Ave
Minneapolis, MN 55404-2649

Other practice location 1

2356 University Ave W Ste 210
Saint Paul, MN 55114-1800
Phone (651) 242-5540

Other practice location 2

3705 Park Center Blvd
St Louis Park, MN 55416-2504
Phone (952) 926-5626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1417414558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 CLINTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 CLINTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042649",
            "telephone_number": "612-791-2809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2356 University Ave W Ste 210",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551141800",
            "country_code": "US",
            "telephone_number": "651-242-5540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3705 Park Center Blvd",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "554162504",
            "country_code": "US",
            "telephone_number": "952-926-5626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUTER",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 25, 2019; 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.