Jordan Ann Carlson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28380 Issued in MN

Practice address

9531 W 78TH St Ste 220
Eden Prairie, MN 55344-3863

Phone

(612) 399-6020

Fax

(952) 214-7490

NPI assigned

Nov 13, 2025

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

State licenses

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.

• Becoming Together Therapy and Wellness LLC

  • Mental Health Counselor
  • Eden Prairie, MN
  • NPI 1285740217

  Clinical

  NPD

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1629938410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9531 W 78TH ST STE 220",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443863",
            "telephone_number": "612-399-6020",
            "fax_number": "952-214-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9531 W 78TH ST STE 220",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443863",
            "telephone_number": "612-399-6020",
            "fax_number": "952-214-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "JORDAN",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Paul Caldwell, M.D.
• Amy Cantele
• Janette M. Capaci, APRN
• Patrick G Carey, MD
• Anna Carlen, MA, LADC
• Kathryn Anne Carlson
• Nancy Fox Carlson, C.P.N.P.
• Shoshannah Rose Carlson, CNP, FNP
• Kylie Carrier
• Shane Carriere

• Clinical Social Worker in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.