Individual provider Active NPI

Jessica Conners, MA, LAMFT

  • Marriage & Family Therapist
  • Edina, MN
National Provider Identifier
1902413834
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3857 Issued in MN
Practice address
7600 Parklawn Ave Ste 380
Edina, MN 55435-5156
Phone
(612) 203-2961
NPI assigned
Sep 24, 2020
Last updated
Sep 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 3857 MN Primary

Addresses

Primary practice location

7600 Parklawn Ave Ste 380
Edina, MN 55435-5156

Mailing address

7600 Parklawn Ave Ste 380
Edina, MN 55435-5156
Phone (612) 203-2961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240311001691 MN Practitioner - Marriage and Family Therapist 0648615203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MN Mental Health Consulting LLCGroup PAC ID 9739344227, 4 clinicians

Practice addresses (Care Compare)

7600 Parklawn Ave
Suite 380
Edina, MN 55435-5156
Phone (612) 203-2961

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3857MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MN Mental Health Consulting LLC Multi-Specialty CurrentSince Jan 7, 2024 Accepting new patients

Locations

7600 Parklawn Ave
Ste 380
Minneapolis, MN 55435
Phone (612) 203-2961

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": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1902413834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 PARKLAWN AVE STE 380",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355156",
            "telephone_number": "612-203-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 PARKLAWN AVE STE 380",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355156",
            "telephone_number": "612-203-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNERS",
        "first_name": "JESSICA",
        "credential": "MA, LAMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.