Active NPI
Jennifer Alstad, LMFT
- Marriage & Family Therapist
- Grand Rapids, MN
National Provider Identifier
1659680957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LAMFT 2100
- Practice address
- 3130 SE 2ND Ave
Grand Rapids, MN 55744-2778 - Phone
- (218) 326-5114
- NPI assigned
- Oct 4, 2010
- Sex
- Female
- Sole proprietor
- No
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.
-
- Community/Behavioral Health Agency
- Grand Rapids, MN
- NPI 1164610986
MN
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northland Counseling Center Inc
Practice addresses (Care Compare)
3130 SE 2ND Ave
Grand Rapids, MN 55744-2778
Phone (218) 326-5114
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240612000293 | MN | Practitioner - Marriage and Family Therapist | 3375085822 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAMFT 2100 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northland Counseling Center, Inc. | Current | Accepting new patients |
Locations
215 SE 2nd Ave
Grand Rapids, MN 55744
Phone (218) 326-1274
3130 SE 2nd Ave
Grand Rapids, MN 55744
Phone (218) 256-1131
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Marriage & Family Therapist | 106H00000X | LAMFT 2100 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3130 SE 2ND Ave
Grand Rapids, MN 55744-2778
Mailing address
215 SE 2ND Ave
Grand Rapids, MN 55744-3615
Other practice location 1
215 SE 2nd Ave
Grand Rapids, MN 55744-3615
Phone (218) 326-1274
Other names 1
NPPES NPI Registry- Jennifer Jerome
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 2, 2023.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1659680957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 SE 2ND AVE",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "557443615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 SE 2ND AVE",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "557442778",
"telephone_number": "218-326-5114"
}
],
"practiceLocations": [
{
"address_1": "215 SE 2nd Ave",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MN",
"postal_code": "557443615",
"country_code": "US",
"telephone_number": "218-326-1274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALSTAD",
"first_name": "JENNIFER",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-04",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "LAMFT 2100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "JEROME",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grand Rapids, MN
- Aitkin-Itasca-Koochiching CHB
- Alans Physical Therapy of Grand Rapids
- Jessica Lynn Albers, LICSW
- Suzanne Lois Aldrich, NP-C
- Alliance Chiropractic & Wellness PA
- Always in Motion Chiropractic and Wellness, PA
- Anderson Jore Counseling PC.
- Donald Andrew Anderson, D.C.
- Edwin A. Anderson, MD
- Linda Elaine Anderson, CLINICAL TRAINEE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.