Active NPI
Jennifer Leigh Pohl, L.P.
- Clinical Psychologist
- Minneapolis, MN
National Provider Identifier
1639375421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP4777
- Practice address
- 310 E 38TH St
Suite 120
Minneapolis, MN 55409-1300 - Phone
- (612) 238-2395
- Fax
- (612) 813-0786
- NPI assigned
- Jun 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP4777 | MN | Primary |
Addresses
Primary practice location
310 E 38TH St
Suite 120
Minneapolis, MN 55409-1300
Mailing address
310 E 38TH St
Suite 120
Minneapolis, MN 55409-1300
Phone (612) 238-2395
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2497 7TH Ave E
Suite 101
North St Paul, MN 55109-2946
Phone (651) 769-6400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP4777 | MN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bhsi, LLC | Clinical | Current | Accepting new patients |
Locations
2497 7th Ave E
Ste 101
Saint Paul, MN 55109
Phone (651) 769-6400
2497 7th Ave E
Saint Paul, MN 55109
Phone (651) 387-2165
Organizations & group practices 1
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.
-
- Clinical Psychologist
- North Saint Paul, MN
- NPI 1174635643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639375421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 E 38TH ST",
"address_2": "SUITE 120",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554091300",
"telephone_number": "612-238-2395",
"fax_number": "612-813-0786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 E 38TH ST",
"address_2": "SUITE 120",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554091300",
"telephone_number": "612-238-2395",
"fax_number": "612-813-0786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POHL",
"first_name": "JENNIFER",
"middle_name": "LEIGH",
"name_prefix": "Ms.",
"credential": "L.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP4777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.