MEDICARE: JAMIE R HERMES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor		MN

General Provider Information

NPI Number	:	1972462471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE R HERMES

Provider Business Mailing Address
First Line	:	1199 ATWOOD LN
Second Line	:
City	:	STILLWATER
State	:	MN
Zip	:	55082-4899
Country	:	US
Telephone Number	:	612-385-1850
Fax Number	:

Provider Business Practice Location Address
First Line	:	1199 ATWOOD LN
Second Line	:
City	:	STILLWATER
State	:	MN
Zip	:	55082-4899
Country	:	US
Telephone Number	:	612-385-1850
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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Directions to “ JAMIE R HERMES ” Practice Location

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