Active NPI
Jennifer D. Karel, PSY.D., LP
- Clinical Psychologist
- Saint Paul, MN
National Provider Identifier
1679977326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP5822
- Practice address
- 1123 Grand Ave Ste 301
Saint Paul, MN 55105-2629 - Phone
- (651) 287-0931
- Fax
- (651) 287-0967
- NPI assigned
- Oct 9, 2014
- 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 | LP5822 | MN | Primary |
Addresses
Primary practice location
1123 Grand Ave Ste 301
Saint Paul, MN 55105-2629
Mailing address
1123 Grand Ave Ste 301
Saint Paul, MN 55105-2629
Phone (651) 287-0931
Other names 1
- Dr. Jennifer D. Mattson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 23, 2021 through Apr 23, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP5822 | MN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445558400000",
"number": "1679977326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1123 GRAND AVE STE 301",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551052629",
"telephone_number": "651-287-0931",
"fax_number": "651-287-0967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1123 GRAND AVE STE 301",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551052629",
"telephone_number": "651-287-0931",
"fax_number": "651-287-0967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAREL",
"first_name": "JENNIFER",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "PSY.D., LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-09",
"last_updated": "2015-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP5822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "MATTSON",
"middle_name": "D.",
"prefix": "DR.",
"credential": "PSY.D., LP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.