Active NPI
New Prague Counseling
- Clinical Social Worker
- New Prague, MN
National Provider Identifier
1790408367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- NEW PRAGUE COUNSELING
- Practice address
- 314 Main St E Ste 3
New Prague, MN 56071-2448 - Phone
- (952) 457-3660
- NPI assigned
- Sep 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Jensen, MSW, LICSW
- Title
- Founder
- Phone
- (952) 457-3660
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
314 Main St E Ste 3
New Prague, MN 56071-2448
Mailing address
1509 English Ave NW
New Prague, MN 56071-2214
Phone (952) 457-3660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230119003053 | MN | Part B Supplier - Clinic/Group Practice | 9931570421 |
Receives reassigned benefits from 2 practitioners Practice locations: New Prague, MN |
National Provider Directory
National Provider DirectoryLocations
314 Main St E
Ste 3
New Prague, MN 56071
Phone (952) 457-3660
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669766400000",
"number": "1790408367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 ENGLISH AVE NW",
"city": "NEW PRAGUE",
"state": "MN",
"postal_code": "560712214",
"telephone_number": "952-457-3660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 MAIN ST E STE 3",
"city": "NEW PRAGUE",
"state": "MN",
"postal_code": "560712448",
"telephone_number": "952-457-3660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW PRAGUE COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-20",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A",
"authorized_official_last_name": "JENSEN",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "952-457-3660",
"authorized_official_credential": "MSW, LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Prague, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.