Individual provider Active NPI

Jessica E Schlieman, MA, LMFT

  • Marriage & Family Therapist
  • Saint Cloud, MN
National Provider Identifier
1528526324
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3099 Issued in MN
Practice address
22 Wilson Ave NE Ste 110
Saint Cloud, MN 56304-0440
Phone
(320) 251-7700
Fax
(320) 251-8898
NPI assigned
Mar 11, 2019
Last updated
Mar 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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 3099 MN Primary

Addresses

Primary practice location

22 Wilson Ave NE Ste 110
Saint Cloud, MN 56304-0440

Mailing address

PO Box 6069
Saint Cloud, MN 56302-6069
Phone (320) 251-7700

Other names 1

  • Jessica Ruth Elstad Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16201 -90TH St NE
Suite 203
Otsego, MN 55330-1201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Wellness, LLC CurrentSince Jan 1, 2024 Accepting new patients
Lutheran Social Service of Minnesota PastSince Oct 31, 2018 Accepting new patients

Locations

9001 E Bloomington Fwy
Ste 142
Bloomington, MN 55420
Phone (612) 877-2277

16201 90th St NE
Ste 203
Otsego, MN 55330
Phone (763) 777-9499

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1528526324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563026069",
            "telephone_number": "320-251-7700",
            "fax_number": "320-251-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WILSON AVE NE STE 110",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563040440",
            "telephone_number": "320-251-7700",
            "fax_number": "320-251-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLIEMAN",
        "first_name": "JESSICA",
        "middle_name": "E",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ELSTAD",
            "middle_name": "RUTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.