Individual provider Active NPI

Jennifer Kokes, MA, LPCC

  • Professional Counselor
  • Oakdale, MN
National Provider Identifier
1689026155
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC01277 Issued in MN
Practice address
7835 3Rd St N Ste 208
Oakdale, MN 55128-5445
Phone
(651) 327-0849
Fax
(651) 383-4557
NPI assigned
Jul 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1277 MN
Professional Counselor 101YP2500X CC01277 MN Primary

Addresses

Primary practice location

7835 3Rd St N Ste 208
Oakdale, MN 55128-5445

Mailing address

7835 3Rd St N Ste 208
Oakdale, MN 55128-5445
Phone (651) 327-0849

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL jennifer@summercounseling.com Direct

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
I20240705001142 MN Practitioner - Mental Health Counselor 0345663720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7835 3Rd St N
Suite 208
Oakdale, MN 55128-5445
Phone (651) 327-0849

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CC01277MNMDProfessional Counselor
1277MNMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Support Services Inc. PastSince Mar 3, 2024 Accepting new patients
Nystrom & Associates, LTD PastSince Jul 1, 2013 Accepting new patients
Winston Behavioral Healthcare PastSince Nov 1, 2019 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1689026155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7835 3RD ST N STE 208",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285445",
            "telephone_number": "651-327-0849",
            "fax_number": "651-383-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7835 3RD ST N STE 208",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285445",
            "telephone_number": "651-327-0849",
            "fax_number": "651-383-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKES",
        "first_name": "JENNIFER",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1277",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC01277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jennifer@summercounseling.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7835 3rd St N Ste 208",
            "city": "Oakdale",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551285445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oakdale, MN

Sources for this page

Verify at the official NPI Registry.