Jamestown Counseling Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

59182707202 Issued in ND

Legal business name

JAMESTOWN COUNSELING CENTER

Doing business as

Jennifer Lipetzky

Practice address

300 2ND Ave NE
Suite 215
Jamestown, ND 58401-3373

Phone

(701) 952-7400

Fax

(701) 952-7401

NPI assigned

Apr 8, 2015

Last updated

Apr 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Lipetzky, PHDNPI 1821350679

Title

Owner

Phone

(701) 952-7400

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Lipetzky Doing business as

Locations

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.

• Jennifer Lynn Lipetzky, LPCLPCC

  • Professional Counselor
  • Jamestown, ND
  • NPI 1821350679
  NPD (past) Authorized official

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1831585660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 2ND AVE NE",
            "address_2": "SUITE 215",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584013373",
            "telephone_number": "701-952-7400",
            "fax_number": "701-952-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 2ND AVE NE",
            "address_2": "SUITE 215",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584013373",
            "telephone_number": "701-952-7400",
            "fax_number": "701-952-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMESTOWN COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "LIPETZKY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-952-7400",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "ND",
            "license": "59182707202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennifer Lipetzky",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Connie L Jacobs
• Shelby Lyn Jager, DPT
• James River Correctional Center Pharmacy
• James River Senior Citizens Inc.
• James River Special Education Unit
• Jordan Jangula
• Wendell A Janke, MHCAT
• Shawn Michael Jenner
• Dane Nels Jessen
• Annabel Jiran

• Mental Health Clinic/Center (Including Community Mental Health Center) in Jamestown, ND
• Providers in Jamestown, ND by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.