Kristin Leigh Jorgensen, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28369 Issued in MN

Practice address

5315 Lyndale Ave S
Minneapolis, MN 55419-1270

Phone

(608) 332-5230

NPI assigned

Jun 22, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristin Leigh Stockton Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• KJ Counseling LLC

  • Adult Mental Health Clinic/Center
  • Minneapolis, MN
  • NPI 1861223711
  NPD Authorized official

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1912576109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 GRAND AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091537",
            "telephone_number": "608-332-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191270",
            "telephone_number": "608-332-5230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6550 York Ave S Ste 503",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554352336",
            "country_code": "US",
            "telephone_number": "952-426-3034",
            "fax_number": "612-807-1773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "KRISTIN",
        "middle_name": "LEIGH",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "STOCKTON",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Andrew Jordan, M.D.
• Zane Jorgens, RN
• Bryce Jorgensen, DO
• Diane Marie Jorgensen, LICSW
• Hannah Marie Jorgensen, PA-C
• Rebecca May Jorgensen
• Krista Marie Jorgenson, MA, LPCC
• Shandi Marie Jorgenson, MA, LPCC
• Jessica Joriman, LADC
• Susan Jane Jorstad, M.S.W

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.