JJ Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JJ COUNSELING LLC

Practice address

112 W 1St St Ste 104
Fairmont, MN 56031-1744

Phone

(507) 236-0139

NPI assigned

May 9, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Annmarie E Gibson

Title

Owner

Phone

(507) 236-2162

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

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

• Kristine Marie Shoen, LICSW

  • Mental Health Counselor
  • Fairmont, MN
  • NPI 1558549907
  Medicare reassignment NPD
• Kimberly Kay Slette, LICSW

  • Clinical Social Worker
  • Mankato, MN
  • NPI 1427327899
  NPD (past)

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1962067405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W 1ST ST STE 104",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560311744",
            "telephone_number": "507-236-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W 1ST ST STE 104",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560311744",
            "telephone_number": "507-236-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJ COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "ANNMARIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-236-2162",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Fordice DDS LLC
• Adrianna Jensen
• Steven Jerred, CRNA
• Jerry Zwak Anesthesia, PC
• Matthew Jewett, CRNA
• Jessa Johaneson, PHARM.D.
• Catherine G Johnson, DPT
• Nathan Craig Jorgenson, DDS
• Joseph E. Switras, PH.D., PA
• Joseph Klick

• Clinical Social Worker in Fairmont, MN
• Providers in Fairmont, 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 Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.