Jaclyn Amys, MS, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC02157 Issued in MN

Practice address

111 Hundertmark Rd Ste 450
Chaska, MN 55318-1460

Phone

(952) 368-0450

NPI assigned

Jul 22, 2019

Last updated

Jul 22, 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

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

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.

• Know the Truth Ministries Inc

  dba Northland Counseling Services

  • Clinical Psychologist
  • Chanhassen, MN
  • NPI 1891725883
  NPD (past)

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1811540503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 HICKORY HILL DR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222410",
            "telephone_number": "218-393-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HUNDERTMARK RD STE 450",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181460",
            "telephone_number": "952-368-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMYS",
        "first_name": "JACLYN",
        "credential": "MS, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC02157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerrie Vojtech Allen, MD
• Stacey Allen, LMFT
• Jennifer Allie, AU.D
• Ambulatory Anesthesia Services, PLLC
• American Current Care of Minnesota PC (Concentra Urgent Care)
• Jesica Marie Anderson
• Julie Dzik Anderson, RD
• Melea Rae Anderson, PNP
• Suzanne R. Anderson, OD
• Andrew J Will MD PA (Twin Cities Pain Clinic)

• Mental Health Counselor in Chaska, MN
• Providers in Chaska, 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 Jul 22, 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.