Active NPI
Jennifer R O'Connor, LMFT
- Marriage & Family Therapist
- Oakdale, MN
National Provider Identifier
1740580208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2050
- Practice address
- 3503 Highpoint Dr N Ste 230
Oakdale, MN 55128-7577 - Phone
- (651) 815-5664
- NPI assigned
- Oct 29, 2010
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2050 | MN | Primary |
Addresses
Primary practice location
3503 Highpoint Dr N Ste 230
Oakdale, MN 55128-7577
Mailing address
3503 Highpoint Dr N Ste 230
Oakdale, MN 55128-7577
Phone (651) 815-5664
Other practice location 1
5620 Memorial Ave N
Oak Park Heights, MN 55082-1048
Phone (651) 777-5222
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240520001330 | MN | Practitioner - Marriage and Family Therapist | 2062854250 | Practice locations: Oakdale, MN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2050 | MN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1740580208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3503 HIGHPOINT DR N STE 230",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551287577",
"telephone_number": "651-815-5664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3503 HIGHPOINT DR N STE 230",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551287577",
"telephone_number": "651-815-5664"
}
],
"practiceLocations": [
{
"address_1": "5620 Memorial Ave N",
"address_purpose": "LOCATION",
"city": "Oak Park Heights",
"state": "MN",
"postal_code": "550821048",
"country_code": "US",
"telephone_number": "651-777-5222",
"fax_number": "651-251-5205",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'CONNOR",
"first_name": "JENNIFER",
"middle_name": "R",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-29",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "2050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.