Active NPI
Molly Jockheck
- Counselor
- Minneapolis, MN
National Provider Identifier
1760001614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2000 Aldrich Ave S
Minneapolis, MN 55405-3003 - Phone
- (612) 223-8988
- NPI assigned
- Apr 10, 2020
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2000 Aldrich Ave S
Minneapolis, MN 55405-3003
Mailing address
17618 Hackberry CT
Eden Prairie, MN 55347-4268
Phone (605) 450-1071
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 |
|---|---|---|---|---|
| I20240115000538 | MN | Practitioner - Mental Health Counselor | 5496107542 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2930 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kasa and Embers Therapy, LTD | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Eden Prairie, MN
- NPI 1891683256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586476800000",
"number": "1760001614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17618 HACKBERRY CT",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553474268",
"telephone_number": "605-450-1071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 ALDRICH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554053003",
"telephone_number": "612-223-8988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOCKHECK",
"first_name": "MOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-10",
"last_updated": "2020-04-10",
"certification_date": "2020-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
- JMR Dental, PLLC (Fiant Dental)
- JN Optics, LLC (Dinkytown Optical)
- Amy Michelle Kerber Jobe, LICSW
- Christina Maria Jobelius, MFT
- Jocelyn Thoemke LLC
- Joel Grostephan, Licsw, LLC
- Gay Luanne Joel, PSYD, LP
- Joessa Austin, P.C. (Jai Healing Studio)
- Siddharth Bhalchandra Joglekar, MD
- Katy-Cecilie Johannessen, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.