Individual provider Active NPI

Jeanette Ann Jochum-Lindstrom, MS, LPCC, NCC

  • Professional Counselor
  • Walker, MN
National Provider Identifier
1699437079
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC03029 Issued in MN
Practice address
507 Minnesota Ave West
Walker, MN 56484-1068
Phone
(320) 979-8448
NPI assigned
Oct 12, 2021
Last updated
May 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X CC03029 MN Primary

Addresses

Primary practice location

507 Minnesota Ave West
Walker, MN 56484-1068

Mailing address

2313 6TH Ave SE
Willmar, MN 56201-4885
Phone (320) 979-8448

Other practice location 1

2015 1st St S
Willmar, MN 56201-4299
Phone (320) 979-8448

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
I20250521002192 MN Practitioner - Mental Health Counselor 0547789794 Practice locations: Willmar, MN

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2015 1St St S
Suite 124
Willmar, MN 56201-4463
Phone (320) 979-8448

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
JJ Lindstrom PLC Mental Health CurrentSince Feb 8, 2023 Accepting new patients
North Country Counseling P.C. Single Specialty PastSince Mar 1, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1699437079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 6TH AVE SE",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014885",
            "telephone_number": "320-979-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 MINNESOTA AVE WEST",
            "city": "WALKER",
            "state": "MN",
            "postal_code": "564841068",
            "telephone_number": "320-979-8448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 1st St S",
            "address_purpose": "LOCATION",
            "city": "Willmar",
            "state": "MN",
            "postal_code": "562014299",
            "country_code": "US",
            "telephone_number": "320-979-8448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOCHUM-LINDSTROM",
        "first_name": "JEANETTE",
        "middle_name": "ANN",
        "credential": "MS, LPCC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC03029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walker, MN

Sources for this page

Verify at the official NPI Registry.