Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennica Wanha, MA

Individual provider Mental Health Counselor · NPI 1962066589

Jennica Wanha, MA is a Marriage and Family Therapist in Big Lake, Minnesota. Qualified in 2017, 9 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2019
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

207 Jefferson Blvd
Big Lake, MN 55309-4667
Phone: (763) 367-6080
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1962066589
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedApril 29, 2019
Last updated in NPPESApril 29, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Big Lake