Jennifer Oldenburg Sr., M.S, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1699 Issued in MN

Practice address

15 1St Ave
Suite 2
Long Prairie, MN 56347

Phone

(320) 732-3344

Fax

(320) 732-3352

NPI assigned

Jul 10, 2007

Last updated

Feb 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Bettis Former name

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

Specialty

Marriage and Family Therapist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pathways Counseling PLLCGroup PAC ID 3072044809, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pathways Counseling PLLC

  • Marriage & Family Therapist
  • Long Prairie, MN
  • NPI 1932931672
  Medicare reassignment Care Compare group NPD Authorized official
• Neighborhood Counseling Center of Wadena, Inc

  • Community/Behavioral Health Agency
  • Long Prairie, MN
  • NPI 1003006917
  NPD (past)

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1487852745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 1ST AVE",
            "address_2": "SUITE 2",
            "city": "LONG PRAIRIE",
            "state": "MN",
            "postal_code": "56347",
            "telephone_number": "320-732-3344",
            "fax_number": "320-732-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 1ST AVE",
            "address_2": "SUITE 2",
            "city": "LONG PRAIRIE",
            "state": "MN",
            "postal_code": "56347",
            "telephone_number": "320-732-3344",
            "fax_number": "320-732-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDENBURG",
        "first_name": "JENNIFER",
        "name_suffix": "Sr.",
        "credential": "M.S, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BETTIS",
            "credential": "M.S, LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Minnesota Eyecare Network, Inc. (Long Prairie Eye Clinic)
• Mark William Mohr, PHARM.D.
• John P Nei, DDS
• Neighborhood Counseling Center of Wadena, Inc
• Jaycob Nietfeld, APRN
• Christine M. Olson, R.N. CN/P
• Pathways Counseling PLLC
• Patti Venekamp Counseling Services, P.C.
• Camilla Peterson-Devries, CNP
• William H Peterson, DDS

• Marriage & Family Therapist in Long Prairie, MN
• Providers in Long Prairie, 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 Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.