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JENNIFER PETZOLDT
NPI 1063952778
Counselor - Professional in Minnetonka, MN

Active since February 28, 2017
5860 BAKER RD, MINNETONKA, MN 55345(612) 759-2697 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Petzoldt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER PETZOLDT (NPI 1063952778) is an individual professional provider in Minnetonka, Minnesota, licensed in Minnesota (CC01456) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1063952778
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNIFER PETZOLDT
Location Address5860 BAKER RDMinnetonka, MN 55345-5903
Mailing Address5710 Baker RdMinnetonka, MN 55345-5901 · (612) 759-2697
Phone(612) 759-2697
Sole ProprietorNo
Enumeration DateFebruary 28, 2017
✔ NPI 1063952778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · CC01456
5860 BAKER RD, Minnetonka, MN 55345
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY FISK
Behavior Technician
5860 BAKER RD
MINNETONKA, MN 55345
Hennepin County (952) 767-4200
HARLIE JO JACOBSEN
Behavior Technician
5860 BAKER RD
MINNETONKA, MN 55345
Hennepin County (952) 767-4200
NICOLE ANGELINE JORDAHL
Behavior Technician
5860 BAKER RD
MINNETONKA, MN 55345
Hennepin County (952) 767-4200
REBECCA KAY HARRIS BA
Behavior Technician
5860 BAKER RD
MINNETONKA, MN 55345
Hennepin County (952) 767-4200
EMILY CATHERINE TAUTGES
Behavior Technician
5860 BAKER RD
MINNETONKA, MN 55345
Hennepin County (952) 767-4200
KIRSTEN COLLEEN HALEY BS
Behavior Technician
5860 BAKER RD
MINNETONKA, MN 55345
Hennepin County (952) 767-4200
CARRIE CIKANEK
Behavior Technician
5860 BAKER RD
MINNETONKA, MN 55345
Hennepin County (952) 767-4200
CAMRYN ANN OLSEN BA
Behavior Technician
5860 BAKER RD
MINNETONKA, MN 55345
Hennepin County (952) 767-4200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Petzoldt's NPI number?

The NPI number for Jennifer Petzoldt is 1063952778. It was assigned to this individual provider in the NPPES registry on February 28, 2017.

Where is Jennifer Petzoldt located?

Jennifer Petzoldt practices at 5860 Baker Rd, Minnetonka, MN 55345. The listed phone number is (612) 759-2697.

What is Jennifer Petzoldt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jennifer Petzoldt was last updated on February 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.