KJ Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2085 Issued in MN

Legal business name

KJ COUNSELING LLC

Practice address

333 Main St N Ste 205
Stillwater, MN 55082-5054

Phone

(651) 492-4938

Fax

(651) 430-2272

NPI assigned

Feb 23, 2015

Organization subpart

No

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

Authorized official

Name

Kristen Sue Johnson, RN, MS, LMFT

Title

Owner

Phone

(651) 492-4938

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1881086288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 RIVERVIEW ACRES RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540166752",
            "telephone_number": "651-492-4938",
            "fax_number": "651-430-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MAIN ST N STE 205",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550825054",
            "telephone_number": "651-492-4938",
            "fax_number": "651-430-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJ COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-492-4938",
        "authorized_official_credential": "RN, MS, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "2085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.