Jan Jirak, Ma,LP,PLLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

JAN JIRAK, MA,LP,PLLC

Practice address

314 Clifton Ave Ste 303
Minneapolis, MN 55403-3376

Phone

(952) 985-1097

NPI assigned

Sep 10, 2007

Organization subpart

No

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

Authorized official

Name

Jan Jirak, MA,LPNPI 1407954753

Title

Licensed Psychologist

Phone

(952) 985-1097

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jan Jirak, MALP

  • Counseling Psychologist
  • Minneapolis, MN
  • NPI 1407954753
  NPD (past) Authorized official

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1922293265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 CLIFTON AVE STE 303",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033376",
            "telephone_number": "952-985-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 CLIFTON AVE STE 303",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033376",
            "telephone_number": "952-985-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN JIRAK, MA,LP,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "JIRAK",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "952-985-1097",
        "authorized_official_credential": "MA,LP"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayeza Jamil, DO
• Kaitlyn Nicol Jamison, CPNP
• Kalie Jean Jammerthal
• Anya Lukasewycz Jamrozy, MD
• Ahmed Jamshed, MBBS
• Vallabh Janardhan, MBBS
• Steven Janczak, DDS
• Layne Gardella Janda, MD
• Timothy Jandro, LP
• Jane L Stern

• Counseling Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.