Individual provider Active NPI

Todd Workman Jesness, PHD, LMFT

  • Marriage & Family Therapist
  • Eagan, MN
National Provider Identifier
1821853896
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2814 Issued in MN
Practice address
3205 Rolling Hills Dr
Eagan, MN 55121-2341
Phone
(954) 547-3256
NPI assigned
Feb 19, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 2814 MN Primary

Addresses

Primary practice location

3205 Rolling Hills Dr
Eagan, MN 55121-2341

Mailing address

3205 Rolling Hills Dr
Eagan, MN 55121-2341
Phone (954) 547-3256

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2814MNMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1821853896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 ROLLING HILLS DR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551212341",
            "telephone_number": "954-547-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 ROLLING HILLS DR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551212341",
            "telephone_number": "954-547-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORKMAN JESNESS",
        "first_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.