Jennifer Marie Doeden, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2495 Issued in MN

Practice address

9201 Quaday Ave NE Ste 205
Otsego, MN 55330-6604

Phone

(763) 309-1005

Fax

(651) 222-9727

NPI assigned

Aug 29, 2012

Last updated

Apr 9, 2019By 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

Other names 1

• Ms. Jennifer Marie Rye Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Belle Ame Counseling Inc.

  dba Metro Counseling and Wellness

  • Clinic/Center
  • Minnetonka, MN
  • NPI 1487402202
  NPD Authorized official
• Parasol Wellness Collaborative

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Otsego, MN
  • NPI 1013376961
  NPD (past)

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1790033371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 QUADAY AVE NE STE 205",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553306604",
            "telephone_number": "763-309-1005",
            "fax_number": "651-222-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 QUADAY AVE NE STE 205",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553306604",
            "telephone_number": "763-309-1005",
            "fax_number": "651-222-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOEDEN",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "RYE",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Catherine Moe Dalnes, LICSW
• Jodi Marie Dessellier, PA-C
• Melanie Deutsch, OTR
• DMR Clinic Rogers LLC (Ripple Health Clinic)
• Blaine C Doeden, DPT
• Bradley Mike Dreis, LPCC
• Nathan J Dumm, PA-C
• Deanna Dyrud, OT
• Eagle Touch Living Care LLC
• David R. Edwards, M.D.

• Marriage & Family Therapist in Otsego, MN
• Providers in Otsego, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.