Courtney Jessen, MA LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4211 Issued in MN

Practice address

207 Jefferson Blvd
Big Lake, MN 55309-4667

Phone

(763) 367-6080

Fax

(763) 263-7897

NPI assigned

Feb 14, 2017

Last updated

Apr 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Delano Counseling & Play Therapy, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Delano, MN
  • NPI 1174283147
  NPD (past)
• Family Innovations, Inc.

  dba LifeStance Health

  • Counseling Psychologist
  • Anoka, MN
  • NPI 1992862783

  Marriage & Family Therapist

  NPD (past)
• Family Support Services Inc.

  dba Sagent Behavioral Health

  • Mental Health Counselor
  • New Brighton, MN
  • NPI 1467549220
  NPD (past)

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1699214494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 JEFFERSON BLVD",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553094667",
            "telephone_number": "763-367-6080",
            "fax_number": "763-263-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 JEFFERSON BLVD",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553094667",
            "telephone_number": "763-367-6080",
            "fax_number": "763-263-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSEN",
        "first_name": "COURTNEY",
        "credential": "MA LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heartland Counseling and Wellness PLLC
• Luke A. Herdina, P.A.-C
• Hometown Eye Care, Inc
• Independent School District 0727 (Big Lake Public Schools)
• Beth Ann Ireland, R.D.H.
• Karla Juusola, CPM
• Stephanie Kantola
• Ashley Rae Kashevaroff
• McKayla Lynn Kent, MSW, LGSW
• Curtis Kopotic, ATC

• Marriage & Family Therapist in Big Lake, MN
• Providers in Big Lake, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.