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

Mrs. Jenna Etzold, LP

Individual provider Psychologist · NPI 1538707898

Mrs. Jenna Etzold, LP is a Clinical Psychologist in Bismarck, North Dakota. Qualified in 2018, 8 years ago. Practices with St Alexius Medical Center, a 241-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
8
Licensed in
ND
In the registry since
2019
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

900 E Broadway Ave
Bismarck, ND 58501-4520
Phone: (701) 530-7300
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 577 (ND)
Psychologist Taxonomy 103T00000X

Record details

NPI number1538707898
Entity typeIndividual (Type 1)
GenderFemale
Credentials LP
Sole proprietorNo
NPI enumeratedDecember 18, 2019
Last updated in NPPESDecember 18, 2019
Certification dateDecember 18, 2019
Mailing addressPo Box 5510, Bismarck, ND 58506-5510

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice St Alexius Medical Center — 241 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bismarck