MS. JENNIFER MARIE NELSON MA NPI 1912925017

NPI Information

  • NPI: 1912925017
  • Provider Name: MS. JENNIFER MARIE NELSON, MA
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8085 WAYZATA BLVD SUITE 215
    GOLDEN VALLEY, MN
    ZIP 55426
  • Phone: (206) 947-2645

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NPI Details

MS. Jennifer Marie Nelson, MA is a community behavioral health in Golden Valley, MN with 27 years of experience. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MS. Jennifer Marie Nelson, MA NPI is 1912925017. 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:

8085 WAYZATA BLVD SUITE 215
GOLDEN VALLEY, MN
ZIP 55426
Phone: (206) 947-2645
Fax: (651) 493-2798

The NPI 1912925017 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 8/27/2021.

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
1101Y00000XCounselorLH00008407WASHINGTONNo
2101YA0400XCounselorAddiction (Substance Use Disorder)CP60181716WASHINGTONNo
3101YM0800XCounselorMental HealthLH00008407WASHINGTONNo
4101YP2500XCounselorProfessional00212MINNESOTANo
5251S00000XCommunity/Behavioral Health02466MINNESOTAYes
6251S00000XCommunity/Behavioral HealthLH00008407WASHINGTONNo

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
11912925017MEDICAIDWASHINGTON

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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