Individual provider Active NPI

Jayme Kolbo, LPCC

  • Mental Health Counselor
  • Saint Paul, MN
National Provider Identifier
1760848493
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
656 Armstrong Ave
Saint Paul, MN 55102-3802
Phone
(651) 434-5151
Fax
(651) 447-5137
NPI assigned
Jan 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

656 Armstrong Ave
Saint Paul, MN 55102-3802

Mailing address

656 Armstrong Ave
Saint Paul, MN 55102-3802
Phone (651) 434-5151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 20, 2024 through May 20, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2364MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Center for Psychology, LLC PastSince May 11, 2009 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.

NPI Registry JSON

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1760848493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 ARMSTRONG AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023802",
            "telephone_number": "651-434-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 ARMSTRONG AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023802",
            "telephone_number": "651-434-5151",
            "fax_number": "651-447-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLBO",
        "first_name": "JAYME",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.