Jessica Hinck, MS, LPCC, LADC, CCTP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC02278 Issued in MN

Practice address

17685 Juniper Path Ste 303
Lakeville, MN 55044-9821

Phone

(952) 214-8959

Fax

(952) 214-8960

NPI assigned

Jun 23, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Nystrom & Associates, LTD

  dba Sagent Behavioral Health

  • Clinical Social Worker
  • New Brighton, MN
  • NPI 1396750188
  NPD
• Caillier Clinic LTD

  • Clinical Neuropsychologist
  • Eau Claire, WI
  • NPI 1659453058

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1770934549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17685 JUNIPER PATH STE 301",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449821",
            "telephone_number": "952-214-8959",
            "fax_number": "952-214-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17685 JUNIPER PATH STE 303",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449821",
            "telephone_number": "952-214-8959",
            "fax_number": "952-214-8960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2430 Nicollet Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554043461",
            "country_code": "US",
            "telephone_number": "612-871-7443",
            "fax_number": "612-871-0194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2620 Stein Blvd Ste B",
            "address_2": "Caillier Clinic Ltd",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547012674",
            "country_code": "US",
            "telephone_number": "715-836-0064",
            "fax_number": "715-836-0065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINCK",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "MS, LPCC, LADC, CCTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304883",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC02278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heritage Commons Assisted Living LLC (BeeHive Homes of Lakeville)
• Melissa G Herzig, M.S.CCC
• Sarah Higgins, MS CCC SLP
• Jennifer Hilgenberg, LMFT
• Nicole Hill
• Adaline Hiveley
• Danielle Hoemke, LPCC
• Ruby Hoffman
• Jeremy Hollingsworth
• Seth Holman

• Mental Health Counselor in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.