Individual provider Active NPI

Jael Were

  • Marriage & Family Therapist
  • Maplewood, MN
National Provider Identifier
1639403967
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1788 Issued in MN
Practice address
2127 County Road D E Ste a
Maplewood, MN 55109-5349
Phone
(651) 592-1592
Fax
(651) 429-2988
NPI assigned
Sep 18, 2009
Last updated
Apr 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1788 MN Primary

Addresses

Primary practice location

2127 County Road D E Ste a
Maplewood, MN 55109-5349

Mailing address

5280 Annapolis LN N
3330
Plymouth, MN 55446-3614
Phone (762) 221-4018

Other practice location 1

2085 County Road D E Ste C200
Maplewood, MN 55109-5396
Phone (651) 592-1592

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240201003917 MN Practitioner - Marriage and Family Therapist 9133572449 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Counseling, P.a. CurrentSince Jan 1, 2024 Accepting new patients
Clayton D. Sankey Licsw, LLC PastSince Apr 5, 2004 Accepting new patients

Locations

2085 E County Road D
Ste C200
Saint Paul, MN 55109
Phone (651) 592-1592

2127 County Road D E
Ste A100
Saint Paul, MN 55109
Phone (651) 592-1592

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1639403967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5280 ANNAPOLIS LN N",
            "address_2": "3330",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463614",
            "telephone_number": "762-221-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 COUNTY ROAD D E STE A",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095349",
            "telephone_number": "651-592-1592",
            "fax_number": "651-429-2988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2085 County Road D E Ste C200",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "551095396",
            "country_code": "US",
            "telephone_number": "651-592-1592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WERE",
        "first_name": "JAEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-18",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

Verify at the official NPI Registry.