Joseph Robert Jefferson, PSYD, LP, LMFT, CPRP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35901 Issued in CA

Practice address

4800 Olson Memorial Hwy Ste 202
Golden Valley, MN 55422-5169

Phone

(507) 474-6264

Fax

(507) 218-8553

NPI assigned

Jun 9, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Woods Psychological Services LLC

  • Clinical Psychologist
  • Winona, MN
  • NPI 1407490444

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750464000000",
    "number": "1881007672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 21ST ST STE R",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958115226",
            "telephone_number": "619-980-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 OLSON MEMORIAL HWY STE 202",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554225169",
            "telephone_number": "507-474-6264",
            "fax_number": "507-218-8553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 21st St Ste R",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958115226",
            "country_code": "US",
            "telephone_number": "619-980-9549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "JOSEPH",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP, LMFT, CPRP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2025-06-21",
        "certification_date": "2025-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "35901",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3198",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1031-124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Ali Jama
• Soreya Mohamud Jama, MSW, LICSW
• James R. Miller DDS Ms PA
• Barbara Ethel Jampsa
• Jennifer S Jarrett, PA-C
• Jessica Jenkins
• Jennifer L. Holt, PH.D., LLC
• Jaye Richard Jennings
• Carlene Jensen, OTR/L
• Mary Jo Haugen Jensen, PT

• Psychologist in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2025; 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.