Organization Active NPI

Jennifer Owens Therapy Services, LLC

  • Community/Behavioral Health Agency
  • Brainerd, MN
National Provider Identifier
1982064689
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2559 Issued in MN
Legal business name
JENNIFER OWENS THERAPY SERVICES, LLC
Practice address
4706 Wilderness CT Ste 101
Brainerd, MN 56401
Phone
(218) 454-3995
Fax
(888) 830-3939
NPI assigned
Feb 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Authorized official

Name
Jennifer Owens, LMFT
Title
Marriage and Family Therapist
Phone
(218) 820-4084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2559 MN Primary

Addresses

Primary practice location

4706 Wilderness CT Ste 101
Brainerd, MN 56401

Mailing address

4706 Wilderness CT Ste 101
Brainerd, MN 56401-2887
Phone (218) 454-3995

Other practice location 1

985 Marlin Pl W Ste 3
Pillager, MN 56473-2517
Phone (218) 330-5235

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1982064689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4706 WILDERNESS CT STE 101",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564012887",
            "telephone_number": "218-454-3995",
            "fax_number": "888-830-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4706 WILDERNESS CT STE 101",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "56401",
            "telephone_number": "218-454-3995",
            "fax_number": "888-830-3939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "985 Marlin Pl W Ste 3",
            "address_purpose": "LOCATION",
            "city": "Pillager",
            "state": "MN",
            "postal_code": "564732517",
            "country_code": "US",
            "telephone_number": "218-330-5235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JENNIFER OWENS THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "218-820-4084",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "2559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brainerd, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.