Individual provider Active NPI

Jane M Kilgriff, M.A., L.P.

  • Counseling Psychologist
  • Edina, MN
National Provider Identifier
1780668459
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2595 Issued in MN
Practice address
5200 Willson Rd
#309
Edina, MN 55424-1332
Phone
(651) 503-9931
NPI assigned
Dec 6, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 2595 MN Primary

Addresses

Primary practice location

5200 Willson Rd
#309
Edina, MN 55424-1332

Mailing address

1775 Lexington Ave S
#7
Saint Paul, MN 55118-3624
Phone (651) 503-9931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1780668459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 LEXINGTON AVE S",
            "address_2": "#7",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551183624",
            "telephone_number": "651-503-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 WILLSON RD",
            "address_2": "#309",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241332",
            "telephone_number": "651-503-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILGRIFF",
        "first_name": "JANE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "M.A., L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "2595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.