Organization Active NPI

Full Circle Center for Psychotherapy

  • Adult Mental Health Clinic/Center
  • Duluth, MN
National Provider Identifier
1740165802
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
FULL CIRCLE CENTER FOR PSYCHOTHERAPY
Practice address
324 W Superior St Ste 402
Duluth, MN 55802-1726
Phone
(218) 726-5433
Fax
(218) 279-2844
NPI assigned
Aug 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Authorized official

Name
Anine Jensen, LPCCNPI 1194368860
Title
Therapist
Phone
(218) 726-5433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

324 W Superior St Ste 402
Duluth, MN 55802-1726

Mailing address

324 W Superior St Ste 402
Duluth, MN 55802-1726
Phone (218) 726-5433

Other names 1

  • Full Circle Center for Psychotherapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260529000609 MN Part B Supplier - Clinic/Group Practice 6305316423 Receives reassigned benefits from 1 practitioner
Practice locations: Duluth, MN

National Provider Directory

National Provider Directory

Locations

324 W Superior St
Ste 402
Duluth, MN 55802
Phone (218) 726-5433

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1740165802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST STE 402",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021726",
            "telephone_number": "218-726-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST STE 402",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021726",
            "telephone_number": "218-726-5433",
            "fax_number": "218-279-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE CENTER FOR PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "ANINE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "218-726-5433",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Circle Center for Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.