Individual provider Active NPI

Jessica Kahnke

  • Marriage & Family Therapist
  • Golden Valley, MN
National Provider Identifier
1831577360
Registry record updated May 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2953 Issued in MN
Practice address
8401 Wayzata Blvd
Golden Valley, MN 55426-1343
Phone
(763) 544-1006
NPI assigned
May 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2953 MN Primary

Addresses

Primary practice location

8401 Wayzata Blvd
Golden Valley, MN 55426-1343

Mailing address

8401 Wayzata Blvd
Golden Valley, MN 55426-1343

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Life Well Therapy Marriage & Family Therapist Current Accepting new patients
Jess Kahnke LLC Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431820800000",
    "number": "1831577360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 WAYZATA BLVD",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 WAYZATA BLVD",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261343",
            "telephone_number": "763-544-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHNKE",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-17",
        "last_updated": "2015-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2015; 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.