Jupiter Center, PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1575 Issued in MN

Legal business name

JUPITER CENTER, PLLC

Practice address

2124 Dupont Ave S
Suite G1
Minneapolis, MN 55405-2700

Phone

(612) 701-0064

Fax

(612) 605-3283

NPI assigned

Aug 14, 2009

Organization subpart

No

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

Authorized official

Name

Michael Kinzer, LMFT

Title

Owner

Phone

(612) 701-0064

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1639301310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 DUPONT AVE S",
            "address_2": "SUITE G1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052700",
            "telephone_number": "612-701-0064",
            "fax_number": "612-605-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 DUPONT AVE S",
            "address_2": "SUITE G1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052700",
            "telephone_number": "612-701-0064",
            "fax_number": "612-605-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUPITER CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-14",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "KINZER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-701-0064",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "538977000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina Carole Junius, BCC,LADC
• Heather Juno
• Boonsiri Junsirimongkol
• Kristin Juntunen, MA, LADC, LPCC
• Edward A Juodis, MD
• Arthur Ruben Jurao, MD
• Lindsay Juriga, MD
• Jessica M Jurovich, DDS
• Just Comfort, Inc.
• Catherine Elizabeth Johnson Justice, PT

• Marriage & Family Therapist in Minneapolis, MN
• Providers in Minneapolis, 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 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.