Jessica Mittelstaedt, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

14451 Highway 7
Suite 2a
Minnetonka, MN 55345-3740

Phone

(612) 460-1791

NPI assigned

Jul 23, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1588072573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14451 HIGHWAY 7",
            "address_2": "SUITE 2A",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453740",
            "telephone_number": "612-460-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14451 HIGHWAY 7",
            "address_2": "SUITE 2A",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453740",
            "telephone_number": "612-460-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTELSTAEDT",
        "first_name": "JESSICA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Minnetonka, MN
• Providers in Minnetonka, 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 Jul 23, 2014; 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.