Active NPI
Karrie Ann Jennings, MA, LMFT, CEAP
- Marriage & Family Therapist
- Lakeville, MN
National Provider Identifier
1679752067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0911
- Practice address
- 23175 Woodland Rd
Lakeville, MN 55044-8264 - Phone
- (952) 469-4159
- NPI assigned
- Nov 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0911 | MN | Primary |
Addresses
Primary practice location
23175 Woodland Rd
Lakeville, MN 55044-8264
Mailing address
23175 Woodland Rd
Lakeville, MN 55044-8264
Phone (952) 469-4159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0911 | MN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1679752067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23175 WOODLAND RD",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550448264",
"telephone_number": "952-469-4159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23175 WOODLAND RD",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550448264",
"telephone_number": "952-469-4159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "KARRIE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MA, LMFT, CEAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-01",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "0911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.