Individual provider Active NPI

Nancy Jarrett

  • Marriage & Family Therapist
  • St Louis Park, MN
National Provider Identifier
1912374356
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3902 Issued in MN
Practice address
3340 Republic Ave Ste 110
St Louis Park, MN 55426-4156
Phone
(952) 900-3866
NPI assigned
Sep 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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 3902 MN Primary

Addresses

Primary practice location

3340 Republic Ave Ste 110
St Louis Park, MN 55426-4156

Mailing address

3340 Republic Ave Ste 110
St Louis Park, MN 55426-4156

Other names 1

  • Nancy Herman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 12, 2024 through Nov 12, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3902MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Novo Behavioral Health, LLC CurrentSince Oct 21, 2025 Accepting new patients
Resiliency and Health Institute, LLC Marriage & Family Therapist Past Accepting new patients

Locations

3340 Republic Ave
Ste 110
St Louis Park, MN 55426
Phone (952) 209-1510

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1912374356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 REPUBLIC AVE STE 110",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 REPUBLIC AVE STE 110",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264156",
            "telephone_number": "952-900-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRETT",
        "first_name": "NANCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "HERMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.