Individual provider Active NPI

Jennifer Ohrmundt, MSW, LCSW

  • Clinical Social Worker
  • Oak Park, MN
National Provider Identifier
1972108033
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27127 Issued in MN
Practice address
16694 100TH St
Oak Park, MN 56357-8536
Phone
(320) 761-3019
NPI assigned
Dec 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 27127 MN Primary

Addresses

Primary practice location

16694 100TH St
Oak Park, MN 56357-8536

Mailing address

16694 100TH St
Oak Park, MN 56357-8536
Phone (320) 761-3019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20230918001419 OK Practitioner - Clinical Social Worker 6507220084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lighthouse Behavioral Wellness CentersGroup PAC ID 6406748961, 59 clinicians

Practice addresses (Care Compare)

2530 S Commerce St
BLDG B
Ardmore, OK 73401-5519
Phone (580) 223-5636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27127MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Behavioral Wellness Centers CurrentSince Aug 11, 2023 Accepting new patients
Homegrown Counseling, LLC Clinical CurrentSince Sep 28, 2021 Accepting new patients
Lighthouse Behavioral Wellness Centers Current Accepting new patients

Locations

225 2nd St SW
Milaca, MN 56353
Phone (320) 200-9447

2530 S Commerce St
Bldg B
Ardmore, OK 73401
Phone (580) 319-7305

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1972108033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16694 100TH ST",
            "city": "OAK PARK",
            "state": "MN",
            "postal_code": "563578536",
            "telephone_number": "320-761-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16694 100TH ST",
            "city": "OAK PARK",
            "state": "MN",
            "postal_code": "563578536",
            "telephone_number": "320-761-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHRMUNDT",
        "first_name": "JENNIFER",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "27127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.