Jacob Voelker, MA, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2624 Issued in MN

Practice address

1660 Highway 100 S
Suite 330
St. Louis Park, MN 55416-1573

Phone

(651) 621-0688

NPI assigned

Mar 5, 2014

Last updated

Feb 15, 2016By the provider in NPPES

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Parkdale Therapy Group, LLC

  • Marriage & Family Therapist
  • St Louis Park, MN
  • NPI 1275723777
  Medicare reassignment NPD

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1720404411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 HIGHWAY 100 S",
            "address_2": "SUITE 330",
            "city": "ST. LOUIS PARK",
            "state": "MN",
            "postal_code": "554161573",
            "telephone_number": "651-621-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 HIGHWAY 100 S",
            "address_2": "SUITE 330",
            "city": "ST. LOUIS PARK",
            "state": "MN",
            "postal_code": "554161573",
            "telephone_number": "651-621-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOELKER",
        "first_name": "JACOB",
        "name_prefix": "Mr.",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-05",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visionworks, Inc. (Visionworks)
• Viverant, LLC
• Emily Vlaminck
• Bryan Vo
• Hien Vo, PHARMD
• Mikayla Voelker
• Pamela A Voelker, M.D.
• Corrin Voeller, MA
• Carie Voges
• Brooke Raeanne Vogt, PHYSICIAN ASSISTANT

• Marriage & Family Therapist in St Louis Park, MN
• Providers in St Louis Park, 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 Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.