Active NPI
Jennie Marie Graff-Dolezal, M.S. LMFT
- Marriage & Family Therapist
- Andover, MN
National Provider Identifier
1881886570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1527
- Practice address
- 13750 Crosstown Dr NW
Suite 102
Andover, MN 55304-5853 - Phone
- (763) 482-9598
- NPI assigned
- Aug 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1527 | MN | Primary |
Addresses
Primary practice location
13750 Crosstown Dr NW
Suite 102
Andover, MN 55304-5853
Mailing address
744 E Minnehaha Pkwy
Minneapolis, MN 55417-1054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187222400000",
"number": "1881886570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 E MINNEHAHA PKWY",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554171054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13750 CROSSTOWN DR NW",
"address_2": "SUITE 102",
"city": "ANDOVER",
"state": "MN",
"postal_code": "553045853",
"telephone_number": "763-482-9598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAFF-DOLEZAL",
"first_name": "JENNIE",
"middle_name": "MARIE",
"credential": "M.S. LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-16",
"last_updated": "2007-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Andover, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.