Jennifer Buchan

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2166 Issued in MN

Practice address

3300 Bass Lake Rd
Suite 500
Brooklyn Center, MN 55429-3072

Phone

(651) 276-9625

Fax

(612) 547-0556

NPI assigned

Nov 23, 2010

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Serenity Circle Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Isanti, MN
  • NPI 1366766206

  Marriage & Family Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1619279700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 SIMS AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551063710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 BASS LAKE RD",
            "address_2": "SUITE 500",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293072",
            "telephone_number": "651-276-9625",
            "fax_number": "612-547-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHAN",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roeniece Brown
• Chantel Jordan Browne, B.S
• Tiairus Broyld-Carruthers
• Luanne Marie Brundage
• Latoria Renee Bryant
• Tequila Buckhanon
• Lauren Buendorf
• Rachel K Buerman, PHARM. D
• Grace Shelby Buezis, CNM
• Maryssa Burg

• Marriage & Family Therapist in Brooklyn Center, MN
• Providers in Brooklyn Center, 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 Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.