Jacqueline Rose Jasken, LAMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3977 Issued in MN

Practice address

6750 France Ave S Ste 200
Edina, MN 55435-1904

Phone

(952) 200-9929

NPI assigned

May 16, 2020

Last updated

May 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Cedar Hill Therapy, LLC

  • Psychologist
  • St Louis Park, MN
  • NPI 1255712238
  NPD (past)

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

{
    "created_epoch": "1589587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589587200000",
    "number": "1558983106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CARLSON PKWY APT 324",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055907",
            "telephone_number": "952-200-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 FRANCE AVE S STE 200",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351904",
            "telephone_number": "952-200-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASKEN",
        "first_name": "JACQUELINE",
        "middle_name": "ROSE",
        "credential": "LAMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-16",
        "last_updated": "2020-05-16",
        "certification_date": "2020-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "3977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan James Jaquette, ATC
• Shirley J Jarcho, APRN, CNP
• Jessica Jarnot, M.D.
• Maryann Wilhelmina Jarosz
• Kathryn Wieckowski Jarrett, M.D.
• Oren Jaspan, MD
• Stephanie M Jasper, PSYD, LP
• Martin Javinsky, L.AC.
• Jay Mar Opticians, Inc
• Ravi Sankara Reddy Jayavarapu, MBBS MPH

• Mental Health Counselor in Edina, MN
• Providers in Edina, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2020; 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.