Jenna Nicole Pulkrabek, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18631 Issued in MN

Practice address

711 6TH Ave NE # 1
Isanti, MN 55040-3207

Phone

(763) 444-5567

NPI assigned

Oct 16, 2019

Last updated

Jan 14, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Serenity Circle Counseling LLCGroup PAC ID 9638552813, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Serenity Circle Counseling, LLC

  dba Serenity Circle Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Isanti, MN
  • NPI 1366766206
  Medicare reassignment Care Compare group NPD
• River Counseling, LLC

  dba River Counseling

  • Adult Mental Health Clinic/Center
  • Maple Grove, MN
  • NPI 1457502577
  NPD
• Hope Works Counseling

  • Community/Behavioral Health Agency
  • Isanti, MN
  • NPI 1366827636
  NPD (past)

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1780226274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 ASHLAND ST N",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "55008",
            "telephone_number": "218-201-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 6TH AVE NE # 1",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550403207",
            "telephone_number": "763-444-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULKRABEK",
        "first_name": "JENNA",
        "middle_name": "NICOLE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Scott Alen Page
• Roni Dilane Pagning
• Richard Vincent Peaslee, D.C.
• Pharmacy Managements, PA (Isanti Drug)
• Naomi May Plemon, SLP
• Crystal Rehbein, APRN, CNP
• Tammy Rhine, PHD,
• Daniel T Rochel
• Roots Speech Therapy, LLC
• Stephanie Elizabeth Ruppert, LMFT

• Clinical Social Worker in Isanti, MN
• Providers in Isanti, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.