Active NPI
Michal C Jorgens, LP
- Clinical Psychologist
- Crookston, MN
National Provider Identifier
1689635898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP4502
- Practice address
- 603 Bruce St
Crookston, MN 56716-0603 - Phone
- (218) 281-3940
- Fax
- (218) 281-6261
- NPI assigned
- Mar 29, 2006
- 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 | LP4502 | MN | Primary |
Addresses
Primary practice location
603 Bruce St
Crookston, MN 56716-0603
Mailing address
603 Bruce St
PO Box 603
Crookston, MN 56716-0603
Phone (218) 281-3940
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP41099 | Other | HEALTH PARTNERS | |
| 1040686 | Other | PREFERRED ONE | |
| 24335 | Other | ND | BCBS OF ND |
| 140670 | Other | MN | UCARE MINNESOTA |
| 444T6J0 | Other | MN | BCBS OF MN |
Other names 1
- M C Kulen Kamp
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP4502 | MN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1689635898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 BRUCE ST",
"address_2": "PO BOX 603",
"city": "CROOKSTON",
"state": "MN",
"postal_code": "567160603",
"telephone_number": "218-281-3940",
"fax_number": "218-281-6261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 BRUCE ST",
"city": "CROOKSTON",
"state": "MN",
"postal_code": "567160603",
"telephone_number": "218-281-3940",
"fax_number": "218-281-6261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORGENS",
"first_name": "MICHAL",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP4502",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP41099",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1040686",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ND",
"identifier": "24335",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE MINNESOTA",
"identifier": "140670",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN",
"identifier": "444T6J0",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "M",
"last_name": "KULEN KAMP",
"middle_name": "C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Crookston, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.