JENNIFER PETZOLDT NPI 1063952778

NPI Information

  • NPI: 1063952778
  • Provider Name: JENNIFER PETZOLDT
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 5860 BAKER RD
    MINNETONKA, MN
    ZIP 55345
  • Phone: (612) 759-2697

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NPI Details

Jennifer Petzoldt is a professional counselor in Minnetonka, MN. Jennifer Petzoldt NPI is 1063952778. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5860 BAKER RD
MINNETONKA, MN
ZIP 55345-903
Phone: (612) 759-2697

The enumeration date for this NPI number is 2/28/2017 and was last updated on 2/28/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalCC01456MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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