Individual provider Active NPI

Jennifer Hartsell Hahn, MA, LPCC

  • Mental Health Counselor
  • Brooklyn Center, MN
National Provider Identifier
1558809111
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC01432 Issued in MN
Practice address
6120 Earle Brown Dr Ste 520
Brooklyn Center, MN 55430-4112
Phone
(763) 569-0972
NPI assigned
Feb 3, 2017
Last updated
Nov 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC01432 MN Primary

Addresses

Primary practice location

6120 Earle Brown Dr Ste 520
Brooklyn Center, MN 55430-4112

Mailing address

6120 Earle Brown Dr Ste 520
Brooklyn Center, MN 55430-4112
Phone (763) 569-0972

Other practice location 1

701 Decatur Ave N
Suite 109
Golden Valley, MN 55427-4367
Phone (952) 201-2787

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240108005641 MN Practitioner - Mental Health Counselor 7214388800 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CC01432MNMDMental Health Counselor
1432MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hahn Counseling Services LLC Mental Health Current Accepting new patients
Affinity Psychological Services, P.C. Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

7401 Metro Blvd
Ste 250
Minneapolis, MN 55439
Phone (612) 778-8393

7401 Metro Blvd
Ste 525
Minneapolis, MN 55439

3400 1st St N
Ste 101
Saint Cloud, MN 56303
Phone (320) 202-2000

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": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1558809111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 EARLE BROWN DR STE 520",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554304112",
            "telephone_number": "763-569-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 EARLE BROWN DR STE 520",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554304112",
            "telephone_number": "763-569-0972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Decatur Ave N",
            "address_2": "Suite 109",
            "address_purpose": "LOCATION",
            "city": "Golden Valley",
            "state": "MN",
            "postal_code": "554274367",
            "country_code": "US",
            "telephone_number": "952-201-2787",
            "fax_number": "763-746-2401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAHN",
        "first_name": "JENNIFER",
        "middle_name": "HARTSELL",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC01432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

Verify at the official NPI Registry.