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 |
| 1 | 106H00000X | Marriage & Family Therapist | | 1500 | MINNESOTA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 4467043 00 | OTHER | MINNESOTA | MA - JAY THEISEN |
| 2 | 5124786 00 | OTHER | MINNESOTA | MA - KARLA MUSSER |
| 3 | 8279578 00 | OTHER | MINNESOTA | MA IN-HOME - GENERATIONS |
| 4 | 8273090 00 | OTHER | MINNESOTA | MA - JOHN LAMPERT |
| 5 | 1366084 00 | OTHER | MINNESOTA | MA - JENNIFER GERVAIS |
| 6 | 558915 00 | OTHER | MINNESOTA | MA - KIRSTEN JANKOVICH |
| 7 | 7126875 00 | OTHER | MINNESOTA | MA - JOY PETERMANN |
| 8 | 8226083 00 | OTHER | MINNESOTA | MA - NICOLE HELLAND |
| 9 | 0616371 00 | OTHER | MINNESOTA | MA - KATIE SHAW |
| 10 | 9831134 00 | OTHER | MINNESOTA | MA CADI - GENERATIONS |
| 11 | 0025101 00 | OTHER | MINNESOTA | MA IN-OFFICE - GENERATION |
| 12 | 1534157 00 | OTHER | MINNESOTA | MA - BEKAH SALITERMAN |
| 13 | 4724372 00 | OTHER | MINNESOTA | MA - JORDAN HART |
| 14 | 5041406 00 | OTHER | MINNESOTA | MA - JO MCBRIDE |
| 15 | 7194978 00 | OTHER | MINNESOTA | MA - KATHLEEN GORMAN |
| 16 | 7676920 00 | OTHER | MINNESOTA | MA - VESSELA KOUNEVA |
