Jupiter Center, Pllc

LBN: Jupiter Center, Pllc
Jupiter Center, Pllc is an health care organization with primary practice located at 2124 Dupont Ave S Suite G1, Minneapolis MN 55405-2700. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as the primary health care specialty. Jupiter Center, Pllc can be contacted via phone (612) 701-0064, or through Kinzer, Michael via phone (612) 701-0064.

Contact Information

Primary practice address
2124 Dupont Ave S Suite G1 Minneapolis MN 55405-2700
Phone: (612) 701-0064
Fax: (612) 605-3283
Website:
Map and Directions
Authorized official contact:
Name: Kinzer, Michael LMFT
Phone: (612) 701-0064

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1575 Minnesota

Profile Details

NPI number 1639301310
LBN Legal business name Jupiter Center, Pllc
DBA Doing business as
Authorized official Kinzer, Michael LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2009
Last updated Apr 5th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639301310 NPPES
Minnesota MEDICAID 538977000

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