Jessica Magnuson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3389 Issued in MN

Practice address

13750 Crosstown Dr NW Ste 102
Andover, MN 55304-5855

Phone

(763) 200-1215

Fax

(651) 461-9440

NPI assigned

Mar 22, 2017

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

Opted out of Medicare

Yes, effective Jun 3, 2024 through Jun 3, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wildflower Therapy Services

  • Marriage & Family Therapist
  • Andover, MN
  • NPI 1487355020
  NPD Authorized official
• Fraser

  • Rehabilitation Clinic/Center
  • Richfield, MN
  • NPI 1063568574
  NPD (past)

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1598296428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13750 CROSSTOWN DR NW STE 102",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553045855",
            "telephone_number": "763-200-1215",
            "fax_number": "651-461-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13750 CROSSTOWN DR NW STE 102",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553045855",
            "telephone_number": "763-200-1215",
            "fax_number": "651-461-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNUSON",
        "first_name": "JESSICA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chee Lor, MD
• Reena Patel Lorntson, WHNP
• Lisa Michelle Luke, OTR/L
• Paul J Lysne, MD
• Maija Joe Maaninga
• Laura Magnuson, FNP
• Bailey Maly
• Morgan Earl Mann, M.D.
• Sherry M Marinello, PA
• Phillip Martin, M.A

• Marriage & Family Therapist in Andover, MN
• Providers in Andover, 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 Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.