JENNIE LASKOW (LPCC) – Professional Counselor, NPI 1073676508

JENNIE LASKOW (LPCC) is a healthcare provider. based in St louis park, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC. They hold a License No. 00026 (MN). The NPI Number for JENNIE LASKOW (LPCC) is 1073676508

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
JENNIE LASKOW (LPCC)
NPI
1073676508
Phone
(651) 645-5323
Address
5354 PARKDALE DR
Enumeration Date
18 December 2006
Last Update Date
2 November 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
95273767663
Graduation Year
1999 (27 years ago)
PAC ID
7618266370
Group Practice PAC ID
1456640242
Professional Enrollment ID
I20240910001303
Address ID
MN554311365BL8120XSXXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

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Provider Addresses for JENNIE LASKOW (LPCC)

  • Parkdale 3, 5354, Parkdale Drive, Blackstone, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    SUITE 200

    ST LOUIS PARK, MN 554161603

    Phone: (651) 645-5323

    Fax: (952) 746-5962

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240910001303IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55416)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456640242View full group profile
NameSpecialtyState
Clinical PsychologistMN
Clinical PsychologistMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

Does JENNIE LASKOW (LPCC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JENNIE LASKOW (LPCC) uses 1073676508.
Is JENNIE LASKOW (LPCC) listed as active for patients and plans?
The listing shows JENNIE LASKOW (LPCC) as active in the NPI system.
What is JENNIE LASKOW (LPCC)'s specialty?
The listing groups JENNIE LASKOW (LPCC) with Professional Counselor. Clinical services aligned with this taxonomy classification.
What address line appears for JENNIE LASKOW (LPCC)?
JENNIE LASKOW (LPCC)'s geographic hint is St Louis Park, Minnesota in our summary view.
Why does JENNIE LASKOW (LPCC) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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