Organization Active NPI

Adult, Child & Family Services, LLC

  • Psychologist
  • Mankato, MN
National Provider Identifier
1902806045
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ADULT, CHILD & FAMILY SERVICES, LLC
Practice address
830 N Broad St Ste 300
Mankato, MN 56001-3394
Phone
(507) 387-3777
Fax
(507) 344-1726
NPI assigned
Jul 29, 2005
Last updated
Jul 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Jessica Marie Shouler, LMFTNPI 1215300793
Title
Owner
Phone
(507) 387-3777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X MN Primary

Addresses

Primary practice location

830 N Broad St Ste 300
Mankato, MN 56001-3394

Mailing address

830 N Broad St Ste 300
Mankato, MN 56001-3394
Phone (507) 387-3777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070717000152 MN Part B Supplier - Clinic/Group Practice 3476653684 Receives reassigned benefits from 6 practitioners
Practice locations: Mankato, MN

National Provider Directory

National Provider Directory

Locations

103 N Broad St
Mankato, MN 56001
Phone (507) 345-7012

125 Saint Andrews Ct
Ste 204
Mankato, MN 56001
Phone (507) 387-3777

1400 Madison Ave
Ste 610
Mankato, MN 56001
Phone (507) 387-3777

730 S Front St
Mankato, MN 56001
Phone (507) 387-3777

830 N Broad St
Ste 300
Mankato, MN 56001
Phone (507) 387-3777

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1902806045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 N BROAD ST STE 300",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013394",
            "telephone_number": "507-387-3777",
            "fax_number": "507-344-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 N BROAD ST STE 300",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013394",
            "telephone_number": "507-387-3777",
            "fax_number": "507-344-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT, CHILD & FAMILY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "SHOULER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-387-3777",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.