JESSICA MARIE ORTIS MA, LPCC
NPI 1194481705
Counselor - Professional in Saint Peter, MN
- Individual
- Female
- Counselor
- Professional
About JESSICA ORTIS
This page provides the complete NPI Profile along with additional information for Jessica Ortis, a provider established in Saint Peter, Minnesota with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1194481705 assigned on November 2021. The practitioner's primary taxonomy code is 101YP2500X with license number CC03011 (MN). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1194481705 Verify this NPI
- Provider Name
- JESSICA MARIE ORTIS MA, LPCC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1715 SHEPPARD DR SAINT PETER, MN 56082
- Location Phone
- (507) 934-7799
- Location Fax
- (507) 934-2594
- Mailing Address
- PO BOX 60 SAINT PETER, MN 56082
- Mailing Phone
- (507) 934-7799
- Mailing Fax
- (507) 934-2594
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-09-2021
- Last Update Date
- 11-09-2021
- Code Navigator
Location Map
Secondary Locations
- 322 S Minnesota Ave
Saint Peter, MN 56082
(507) 934-7799
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- CC03011
- License State
- MN
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | CC03011 (MN) |
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194481705, enumerated as an "individual" on November 09, 2021.
The provider is located at 1715 SHEPPARD DR SAINT PETER, MN 56082 and the phone number is (507) 934-7799.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
