Provider Demographics
NPI:1922339100
Name:TONGEN, JERI ELIZABETH (MS, LMFT, CD, PMH-C)
Entity type:Individual
Prefix:
First Name:JERI
Middle Name:ELIZABETH
Last Name:TONGEN
Suffix:
Gender:F
Credentials:MS, LMFT, CD, PMH-C
Other - Prefix:MRS
Other - First Name:JERI
Other - Middle Name:ELIZABETH
Other - Last Name:BOYLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11621 TANGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55347-4725
Mailing Address - Country:US
Mailing Address - Phone:612-308-0694
Mailing Address - Fax:
Practice Address - Street 1:11621 TANGLEWOOD DR
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55347-4725
Practice Address - Country:US
Practice Address - Phone:612-308-0694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-27
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN374J00000X
MN1999106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist