Jenna Amundson, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1903 Greeley St S Ste 202
Stillwater, MN 55082-6279

Phone

(612) 888-5910

NPI assigned

Oct 16, 2023

Sex

Female

Sole proprietor

Yes

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 Arts

Practice roles

Locations

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.

• Be Well Center for Counseling & Healing PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stillwater, MN
  • NPI 1275120784
  NPD

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1861274730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 GREELEY ST S STE 202",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 GREELEY ST S STE 202",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826279",
            "telephone_number": "612-888-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMUNDSON",
        "first_name": "JENNA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yahya Daud Ali
• Theresa Mary Allen, LADC
• Gilberto Almanza, RN, ANP, AOCN
• Alora Wellness
• Yazmin Alvarado Soto, LGSW
• Amy Olson LLC
• Anchored Chiropractic PLLC
• Megan Anderegg, NP
• Kimberly A Anderson-Uzpen, MD
• Anna Lynn Anderson, DC

• All providers in Stillwater, MN
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.