Individual provider Active NPI

Jenna Leigh Janssen

  • Professional Counselor
  • Minneapolis, MN
National Provider Identifier
1922953207
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC05109 Issued in MN
Practice address
3231 1St Ave S
Minneapolis, MN 55408-4407
Phone
(612) 238-6522
NPI assigned
Mar 2, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC05109 MN Primary

Addresses

Primary practice location

3231 1St Ave S
Minneapolis, MN 55408-4407

Mailing address

3231 1St Ave S
Minneapolis, MN 55408-4407
Phone (612) 238-6522

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
I20260316001753 MN Practitioner - Mental Health Counselor 3577046713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

740 E 24TH St
Minneapolis, MN 55404-3862

9800 Diffley CT
Apt 417
Inver Grove Heights, MN 55077-1011

9800 Diffley CT Apt
Suite 417
Inver Grove Heights, MN 55077-1017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC05109MNMDProfessional Counselor
5109MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Teen Challenge, Inc CurrentSince Feb 2, 2026 Accepting new patients

Locations

3231 1st Ave S
Minneapolis, MN 55408
Phone (612) 238-6522

2365 Ariel St N
Saint Paul, MN 55109
Phone (612) 777-8987

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": "1772409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1922953207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 1ST AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084407",
            "telephone_number": "612-238-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 1ST AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084407",
            "telephone_number": "612-238-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSSEN",
        "first_name": "JENNA",
        "middle_name": "LEIGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC05109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.