Jasira Family Counseling

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

18096 Issued in MN

Legal business name

JASIRA FAMILY COUNSELING

Practice address

131 Christenson CT NE
Fridley, MN 55432-4958

Phone

(612) 986-3836

Fax

(763) 561-1843

NPI assigned

May 28, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Juneau Ronnye75 Hill Armstrong, LICSW

Title

Clinical Director

Phone

(612) 986-3836

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juneau Ronnye Hill, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1063654598
  Medicare reassignment NPD

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1861871493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 CHRISTENSON CT NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554324958",
            "telephone_number": "612-986-3836",
            "fax_number": "763-561-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 CHRISTENSON CT NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554324958",
            "telephone_number": "612-986-3836",
            "fax_number": "763-561-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASIRA FAMILY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "HILL ARMSTRONG",
        "authorized_official_first_name": "JUNEAU",
        "authorized_official_middle_name": "RONNYE75",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "612-986-3836",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "MN",
            "license": "18096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Hasan Jama
• Sara N Jama
• Dechen C Jamling, BSN RN
• Daniel M Janiga, MD MPH
• Jannah Health Services, LLC
• Camille Jensen, MA, LPCC, LADC
• Abdulhamid Hassan Jibrell
• Sundus Hussein Jibrill
• Catherine Rose Johanneck, M.S.W. L.I.C.S.W
• Paula Jean Johns, RN

• Early Intervention Provider Agency in Fridley, MN
• Providers in Fridley, MN by specialty
• Early Intervention Provider Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.