Jacqueline Trisha Misko

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

7525 Mitchell Rd Ste 100
Eden Prairie, MN 55344-1900

Phone

(507) 269-7200

NPI assigned

Feb 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jacqueline Trisha Joachim Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1942907548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21475 BITTERBUSH PASS",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553726008",
            "telephone_number": "507-269-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 MITCHELL RD STE 100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553441900",
            "telephone_number": "507-269-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISKO",
        "first_name": "JACQUELINE",
        "middle_name": "TRISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "JOACHIM",
            "middle_name": "TRISHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Miner
• Minnesota Mental Health Solutions
• Minnesota Vision Therapy Center LLC
• Miracle-Ear, Inc.
• Michele Miranda, M.A.
• Allen Kiprotich Missoi, MD
• Jason W Mitchell, M.D., M.P.H., M.B.A.
• Lillian Mitchell
• Nolan E.C. Mitchell, D.C.
• Said A Moalimyusuf

• Mental Health Counselor in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.