KATLYN JO JESSEN (NPI# 1447772249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447772249 |
| Entity Type | Individual |
| Full Name | KATLYN JO JESSEN |
| Credential | LPCC |
| Practice Address |
611 Broadway Ave Ste 100 Wabasha MN 55981 |
| Mailing Address |
166 Main St Winona MN 55987-6442 |
| Practice Telephone | 6515652235 |
| Practice Fax Number | 6515652890 |
| Mailing Telephone | 5074544341 |
| Mailing Fax Number | 5072054296 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2018-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC01561 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 205 2nd St W, Wabasha, MN 559811266 | 5074460431 | 5074468014 |
| Street Address |
611 BROADWAY AVE STE 100 |
| City | WABASHA |
| State | MN |
| Zip Code | 55981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699960807 | Hiawatha Valley Mental Health Center Inc. | Case Management | 611 Broadway Ave Ste 100, Wabasha, MN 55981-1669 | 2007-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396266003 | Lc Edelbach Company LLC | Pharmacy | 160 Main Street West, Wabasha, MN 55981 | 2017-07-03 |
| 1154372217 | Robert James Mann | Dentist | 115 E Main Street, Wabasha, MN 55981 | 2006-05-13 |
| 1245727056 | Malinda Jean Wise | Social Worker | 1200 Grant Blvd W, Wabasha, MN 55981 | 2018-04-17 |
| 1053785840 | Matthew Wagner | Registered Nurse | 1200 Grant Blvd W, Wabasha, MN 55981 | 2015-11-17 |
| 1851634620 | Soleil Arrieta | Family Medicine | 1200 Grant Blvd W, Wabasha, MN 55981 | 2013-03-31 |
| 1760783492 | Anna Emily Battcher | Pharmacist | 1200 5th Grant Blvd, Wabasha, MN 55981-1042 | 2010-11-11 |
| 1679636393 | Ursula I Miller | Family Medicine | 1202 Grant Blvd W, Wabasha, MN 55981-1042 | 2006-12-18 |
| 1437139730 | Marc J. Hampl | Physician Assistant | 1202 5th Grant Blvd, Wabasha, MN 55981-1042 | 2006-01-20 |
| 1851858112 | Paula Kae Thompson | Dietitian, Registered | 1200 Grant Blvd W, Wabasha, MN 55981-1042 | 2019-02-22 |
| 1376047431 | Brady Ritscher | Pharmacist | 1200 Grant Blvd W, Wabasha, MN 55981-1042 | 2018-03-22 |
| Find all providers in zip 55981 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1578162012 | Bemidji Autism and Children's Therapy LLC | Counselor | 522 Beltrami Ave Nw Ste 110, Bemidji, MN 56601-3002 | 2020-10-24 |
| 1235746579 | Kesha L Bradford | Counselor | 4315 Irving Ave N, Minneapolis, MN 55412-1258 | 2020-09-30 |
| 1386251163 | Jeffrey D Larson, LLC | Counselor | 11735 90th Ave, Milaca, MN 56353-3894 | 2020-09-25 |
| 1407462849 | Anthony Arthur Duhn | Counselor | 6160 Summit Dr N Ste 375, Brooklyn Center, MN 55430-2251 | 2020-09-21 |
| 1043826746 | Amanda Anderson | Counselor | 3201 1st Ave S, Minneapolis, MN 55408-4407 | 2020-09-17 |
| 1720694722 | Eleanor (ellie) Freerksen | Counselor | 3 3rd Ave Sw, Dodge Center, MN 55927 | 2020-09-16 |
| 1033724356 | Carmen Iverson | Counselor | 13401 Morgan Ave S Apt 133, Burnsville, MN 55337-2058 | 2020-09-14 |
| 1235744640 | Paige Berg | Counselor | 6053 Hudson Rd Ste 344, Woodbury, MN 55125-1011 | 2020-09-11 |
| 1508479700 | Roy Haddad | Counselor | 5861 Cedar Lake Rd, St Louis Park, MN 55416-1653 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.