Organization Active NPI

Jorja Jamison Counseling and Consulting LLC

  • Counseling Psychologist
  • Forest Lake, MN
National Provider Identifier
1821568890
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
JORJA JAMISON COUNSELING AND CONSULTING LLC
Practice address
1068 Lake St S Ste 109
Forest Lake, MN 55025-2633
Phone
(651) 982-4792
NPI assigned
Dec 3, 2018
Last updated
Dec 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Authorized official

Name
Dr. Jorja Jamison, LPNPI 1932437126
Title
Owner
Phone
(952) 454-2396

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)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X Primary

Addresses

Primary practice location

1068 Lake St S Ste 109
Forest Lake, MN 55025-2633

Mailing address

5100 6TH St NE Apt 33
Columbia Heights, MN 55421-1669
Phone (952) 454-2396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181203000608 MN Part B Supplier - Clinic/Group Practice 5092059097 Receives reassigned benefits from 1 practitioner
Practice locations: Forest Lake, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1821568890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 6TH ST NE APT 33",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554211669",
            "telephone_number": "952-454-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 LAKE ST S STE 109",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252633",
            "telephone_number": "651-982-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORJA JAMISON COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "JORJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-454-2396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.

Verify at the official NPI Registry.