Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE SEVERT ELLIS, LMFT
ActiveMental Health Counselor · BLOOMINGTON, MN
Registration Details
- NPI Number
- 1376794354
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 8, 2008 (17.535195351386 yrs)
- Last Updated
- Dec 6, 2023
Practice Information
- Address
-
8120 PENN AVE S STE 270BLOOMINGTON, MN, 554311320Browse MN providers · Browse ZIP 55431
- Phone
- 8003365973
- Fax
- 6122344689
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in BLOOMINGTON, MN
| Name | Credential | NPI |
|---|---|---|
| MARY ANN HAVSTAD | M.A. LICSW | 1568530954 |
| MS. MARGARET ADELE WEINKAUF I | — | 1093972358 |
| MR. HAROLD WAHLQUIST | MA MDIV | 1346400264 |
| SOFIA ABDIRAHMAN | — | 1710620828 |
| FARREN GRACE SWANSON | LMFT | 1902183569 |
| JENNIFER BRIANNE TOTH | MA, LPCC | 1083985584 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.