Individual provider Active NPI

Renee' Marie Jore, LMFT, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Grand Rapids, MN
National Provider Identifier
1962553701
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
301946 Issued in MN
Practice address
717 NE 4TH St
Grand Rapids, MN 55744-3104
Phone
(218) 327-2001
Fax
(218) 327-1456
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1451 MN
Addiction (Substance Use Disorder) Counselor 101YA0400X 301946 MN Primary

Addresses

Primary practice location

717 NE 4TH St
Grand Rapids, MN 55744-3104

Mailing address

717 NE 4TH St
Grand Rapids, MN 55744-3104
Phone (218) 327-2001

Other identifiers 1

IdentifierTypeStateIssuer
27511800MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
301946MNMDAddiction (Substance Use Disorder) Counselor
1451MNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1962553701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 NE 4TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443104",
            "telephone_number": "218-327-2001",
            "fax_number": "218-327-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 NE 4TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443104",
            "telephone_number": "218-327-2001",
            "fax_number": "218-327-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORE",
        "first_name": "RENEE'",
        "middle_name": "MARIE",
        "credential": "LMFT, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1451",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "301946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27511800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.