Individual provider Active NPI

Jennifer Kristine Stoos, L.M.F.T.

  • Marriage & Family Therapist
  • Edina, MN
National Provider Identifier
1881837284
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1815 Issued in MN
Practice address
3209 W 76TH St
304
Edina, MN 55435-5246
Phone
(952) 929-9929
NPI assigned
Apr 14, 2009
Last updated
Dec 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1815 MN Primary

Addresses

Primary practice location

3209 W 76TH St
304
Edina, MN 55435-5246

Mailing address

3209 W 76TH St
304
Edina, MN 55435-5246
Phone (952) 929-9929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 15, 2024 through Jan 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1815MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Rekindle Counseling, LLC Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1881837284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 W 76TH ST",
            "address_2": "304",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355246",
            "telephone_number": "952-929-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 W 76TH ST",
            "address_2": "304",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355246",
            "telephone_number": "952-929-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOOS",
        "first_name": "JENNIFER",
        "middle_name": "KRISTINE",
        "name_prefix": "Ms.",
        "credential": "L.M.F.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.