Organization Active NPI

Jennifer Pearson LMFT

  • Marriage & Family Therapist
  • Richfield, MN
National Provider Identifier
1497049399
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
964 Issued in MN
Legal business name
JENNIFER PEARSON LMFT
Practice address
6607 18TH Ave S
Richfield, MN 55423-2784
Phone
(612) 798-7373
NPI assigned
Jun 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
Ms. Jennifer Secrest Pearson, M.ED, LMFTNPI 1760677942
Title
Marriage and Family Therapist
Phone
(612) 798-7373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X 964 MN Primary

Addresses

Primary practice location

6607 18TH Ave S
Richfield, MN 55423-2784

Mailing address

6607 18TH Ave S
Richfield, MN 55423-2784
Phone (612) 798-7373

National Provider Directory

National Provider Directory

Locations

6607 18th Ave S
Richfield, MN 55423
Phone (612) 798-7373

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1497049399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6607 18TH AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232784",
            "telephone_number": "612-798-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6607 18TH AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232784",
            "telephone_number": "612-798-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER PEARSON LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "SECREST",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "612-798-7373",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.