Individual provider Active NPI

Jennifer Leigh Ceminsky, LPCC

  • Professional Counselor
  • Mankato, MN
National Provider Identifier
1760147896
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3078 Issued in MN
Practice address
510 Long St
Mankato, MN 56001-4397
Phone
(507) 625-4884
Fax
(507) 625-6311
NPI assigned
Nov 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3078 MN Primary

Addresses

Primary practice location

510 Long St
Mankato, MN 56001-4397

Mailing address

2299 Northridge Dr
North Mankato, MN 56003-2320
Phone (507) 779-2119

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
I20240711003541 MN Practitioner - Mental Health Counselor 6204371495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mankato Marriage and Family Therapy Center PLCGroup PAC ID 5698210862, 4 clinicians

Practice addresses (Care Compare)

1207 Caledonia St
Mankato, MN 56001-4329
Phone (507) 625-4884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3078MNMDNeonatal/Pediatric Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mankato Marriage and Family Therapy Center PLC CurrentSince May 4, 2024 Accepting new patients

Locations

1207 Caledonia St
Mankato, MN 56001
Phone (507) 625-4884

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.

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1760147896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 NORTHRIDGE DR",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560032320",
            "telephone_number": "507-779-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 LONG ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014397",
            "telephone_number": "507-625-4884",
            "fax_number": "507-625-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEMINSKY",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "3078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.