Parkdale Therapy Group, LLC
NPI 1275723777ActiveOrganization· Marriage & Family Therapist· St Louis Park, MN
Marriage & Family Therapist in St Louis Park, Minnesota, registered in NPPES in July 2007. The authorized official on file is John Lamont Jankord, LMFT, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1275723777 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 31, 2007 |
| Last updated in NPPES | Aug 3, 2020 |
| Certified by provider | Aug 3, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 1044 | MN |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 301574 | MN |
| Counselor, Professional | 101YP2500X | 00054 | MN |
| Psychologist, Prescribing (Medical) | 103TP0016X | 27774 | MN |
| Marriage & Family Therapist | 106H00000X | 1023 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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All 127 marriage and family therapists in St Louis Park · All marriage and family therapists in Minnesota