Individual provider Active NPI

Jenny Kathryn Frissell, PHD

  • Clinical Psychologist
  • Fargo, ND
National Provider Identifier
1467555078
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
358 Issued in ND
Practice address
510 4 St S
Fargo, ND 58103
Phone
(701) 476-7800
Fax
(701) 280-5795
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 358 ND Primary

Addresses

Primary practice location

510 4 St S
Fargo, ND 58103

Mailing address

510 4TH St S
Fargo, ND 58103-1914
Phone (701) 476-7800

Other identifiers 1

IdentifierTypeStateIssuer
12053MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20090930000189 ND Practitioner - Clinical Psychologist 5698811925 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Knowlton O'Neill and Associates PCGroup PAC ID 7214924679, 10 clinicians

Practice addresses (Care Compare)

1401 13TH Ave E
West Fargo, ND 58078-3402
Phone (701) 364-0060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1825NDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Knowlton, O'Neill & Associates, P.C. CurrentSince Jun 20, 2020 Accepting new patients
PSJ Acquisition LLC CurrentSince Sep 1, 2009 Accepting new patients
PSJ Acquisition LLC CurrentSince Sep 1, 2009 Accepting new patients
Prairie St Johns Past Accepting new patients

Locations

2925 20th St S
Moorhead, MN 56560
Phone (218) 284-0300

510 4th St S
Fargo, ND 58103
Phone (701) 476-7200

1401 13th Ave E
West Fargo, ND 58078
Phone (701) 364-0060

Organizations & group practices 4

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1467555078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 4TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031914",
            "telephone_number": "701-476-7800",
            "fax_number": "701-280-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 4 ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58103",
            "telephone_number": "701-476-7800",
            "fax_number": "701-280-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISSELL",
        "first_name": "JENNY",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ND",
            "license": "358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12053",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.