Individual provider Active NPI

Jolaina L Falkenstein, LMFT

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1457722316
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2629 Issued in MN
Practice address
2400 Park Ave
Minneapolis, MN 55404-3713
Phone
(612) 879-5320
Fax
(612) 879-5282
NPI assigned
Oct 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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 2629 MN Primary

Addresses

Primary practice location

2400 Park Ave
Minneapolis, MN 55404-3713

Mailing address

2400 Park Ave
Minneapolis, MN 55404-3713
Phone (612) 879-5320

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
I20240429002403 MN Practitioner - Marriage and Family Therapist 8820438542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lutheran Social Service of MinnesotaGroup PAC ID 1951202019, 13 clinicians

Practice addresses (Care Compare)

2400 Park Ave
Minneapolis, MN 55404-3713
Phone (888) 881-8261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2629MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Social Service of Minnesota CurrentSince Feb 11, 2024 Accepting new patients

Locations

716 E St NE
Brainerd, MN 56401
Phone (218) 828-7379

2400 Park Ave
Minneapolis, MN 55404
Phone (612) 879-8730

2835 W Saint Germain St
Ste 550
Saint Cloud, MN 56301
Phone (320) 251-7700

2485 Como Ave
Saint Paul, MN 55108
Phone (800) 582-5260

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1457722316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043713",
            "telephone_number": "612-879-5320",
            "fax_number": "612-879-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043713",
            "telephone_number": "612-879-5320",
            "fax_number": "612-879-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALKENSTEIN",
        "first_name": "JOLAINA",
        "middle_name": "L",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.