Jennifer Thorne

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

445 Broadway Ave Ste a
Saint Paul Park, MN 55071-1554

Phone

(612) 242-1224

NPI assigned

Jul 10, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Brave Soul Counseling Services, LLC

  • Marriage & Family Therapist
  • St Paul Park, MN
  • NPI 1457724205
  NPD

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1467299289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 W 5TH ST",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559875111",
            "telephone_number": "507-474-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 BROADWAY AVE STE A",
            "city": "SAINT PAUL PARK",
            "state": "MN",
            "postal_code": "550711554",
            "telephone_number": "612-242-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNE",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Pijanowski, MA
• Carolynne Sandbakken, LADC
• Dawn J. Schuett
• Shekky Care Services Professional Corporation
• The Milton Home
• Today Evolved LTD.
• Unity Home Support Care LLC

• Marriage & Family Therapist in Saint Paul Park, MN
• Providers in Saint Paul Park, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.