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:
Health care specialties
Specialty | Code | License # | 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 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639301310 | NPPES |
Minnesota | MEDICAID | 538977000 |
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