MRS. JENNIFER ANN ULLOM MA, LP
NPI 1366643868
Psychologist - Counseling in Wayzata, MN

Active since May 30, 2007
700 TWELVE OAKS CENTER DR, STE 204, WAYZATA, MN 55391(612) 306-8499(651) 374-9641 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 18, 2020, Apr 6, 2019 (2 updates tracked since 2019).

About Mrs. Jennifer Ann Ullom Ma, Lp NPPES

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

MRS. JENNIFER ANN ULLOM MA, LP (NPI 1366643868) is an individual counseling provider in Wayzata, Minnesota, licensed in Minnesota (LP5067) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1366643868
Entity TypeIndividualFemale
Primary Taxonomy103TC1900X
Provider Legal NameMRS. JENNIFER ANN ULLOMCredential: MA, LP
Location Address700 TWELVE OAKS CENTER DR, STE 204Wayzata, MN 55391-4415
Mailing Address7513 Inland Ln NMaple Grove, MN 55311-3954 · (612) 998-5162
Fax(651) 374-9641
Sole ProprietorYes
Enumeration DateMay 30, 2007
Last NPPES UpdateAugust 18, 20202 updates tracked since enumeration
NPPES CertifiedAugust 18, 2020
NPI 1366643868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in MN · LP5067
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
Also ListedPsychologistTaxonomy 103T00000X · License LPP161LP5067 (MN)
700 TWELVE OAKS CENTER DR, Wayzata, MN 55391

Other Names 1

Other Name (5)Mrs. Jennifer Ann Riziq M.a., L.p.

Other Providers at the Same Location NPPES 15

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

Chiropractor
700 TWELVE OAKS CENTER DR, SUITE 101
WAYZATA, MN 55391
Technician, Other
700 TWELVE OAKS CENTER DR
WAYZATA, MN 55391
Psychologist (Clinical Child & Adolescent)
700 TWELVE OAKS CENTER DR
WAYZATA, MN 55391
Community/Behavioral Health
700 TWELVE OAKS CENTER DR, #260 UPSTAIRS
WAYZATA, MN 55391
Psychologist
700 TWELVE OAKS CENTER DR, STE. 734
WAYZATA, MN 55391
Clinic/Center (Community Health)
700 TWELVE OAKS CENTER DR, SUITE 101
WAYZATA, MN 55391
Physical Therapist
700 TWELVE OAKS CENTER DR
WAYZATA, MN 55391
Chiropractor (Pediatric Chiropractor)
700 TWELVE OAKS CENTER DR, SUITE 734
WAYZATA, MN 55391

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 Ullom's NPI number?

The NPI number for Jennifer Ullom is 1366643868. It was assigned to this individual provider in the NPPES registry on May 30, 2007. The provider is also known as Mrs. Jennifer Ann Riziq M.A., L.P..

Where is Jennifer Ullom located?

Jennifer Ullom practices at 700 Twelve Oaks Center Dr Ste 204, Wayzata, MN 55391. The listed phone number is (612) 306-8499.

What is Jennifer Ullom's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

When was this NPI record last updated?

The NPPES record for Jennifer Ullom was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.