Active NPI
Jennifer Ohrmundt, MSW, LCSW
- Clinical Social Worker
- Oak Park, MN
National Provider Identifier
1972108033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 27127
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27127 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lighthouse Behavioral Wellness Centers | Current | Accepting new patients | |
| Homegrown Counseling, LLC | Clinical | Current | 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.
-
- Community/Behavioral Health Agency
- Ardmore, OK
- NPI 1518997097
-
- Clinical Social Worker
- Milaca, MN
- NPI 1467123000
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ardmore, OK
- NPI 1881884807
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.