Individual provider Active NPI

Jennifer Lynn Apley

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1417660283
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17926 Issued in MN
Practice address
1197 Grand Ave
Saint Paul, MN 55105-2634
Phone
(763) 793-4215
Fax
(877) 775-3306
NPI assigned
Dec 26, 2022
Last updated
May 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 17926 MN Primary

Addresses

Primary practice location

1197 Grand Ave
Saint Paul, MN 55105-2634

Mailing address

715 N 6TH St
Lake City, MN 55041-1309
Phone (651) 243-3708

Other practice location 1

7101 York Ave S Ste 317
Minneapolis, MN 55435-4469
Phone (763) 703-4215

Other practice location 2

715 N 6th St
Lake City, MN 55041-1309
Phone (651) 243-3708

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230823000515 MN Practitioner - Clinical Social Worker 4082077128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stacia Hanson Ma LP LLCGroup PAC ID 2769828706, 8 clinicians

Practice addresses (Care Compare)

1197 Grand Ave
Saint Paul, MN 55105-2634
Phone (763) 703-4215

715 N 6TH St
Lake City, MN 55041-1309
Phone (651) 243-3708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apis Mental Health & Grief Counseling CurrentSince Jan 1, 2025 Accepting new patients
Stacia Hanson Ma LP LLC CurrentSince Oct 11, 2024 Accepting new patients

Locations

7101 York Ave S
Ste 317
Minneapolis, MN 55435
Phone (763) 703-4207

1197 Grand Ave
Saint Paul, MN 55105
Phone (763) 703-4215

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1417660283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N 6TH ST",
            "city": "LAKE CITY",
            "state": "MN",
            "postal_code": "550411309",
            "telephone_number": "651-243-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1197 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052634",
            "telephone_number": "763-793-4215",
            "fax_number": "877-775-3306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7101 York Ave S Ste 317",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554354469",
            "country_code": "US",
            "telephone_number": "763-703-4215",
            "fax_number": "877-775-3306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 N 6th St",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "MN",
            "postal_code": "550411309",
            "country_code": "US",
            "telephone_number": "651-243-3708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "APLEY",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-26",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "17926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.