Jessica Hoenke, PsyD, LP
Psychologist, Clinical in Mankato, MN. Individual provider (NPI-1).
NPI number1114764800
StatusActive
Last updated in NPPESJul 10, 2024
Details
- NPI
- 1114764800
- Entity type
- Individual (NPI-1)
- Name
- Jessica Hoenke
- Credential
- PsyD, LP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2024
- Certification date
- Jul 10, 2024
- Last updated
- Jul 10, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 5507 | MN | Yes |
Practice location
145 Jacob DrMankato, MN 56001-5296
Phone 507-720-5147
Mailing address
145 Jacob DrMankato, MN 56001-5296
Phone 507-720-5147
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