MISS JENNIFER RAE EYERS (LADC) – Addiction (Substance Use Disorder) Counselor, NPI 1245625755

MISS JENNIFER RAE EYERS (LADC) is a healthcare provider. based in Rochester, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LADC. They hold a License No. 301128 (MN). The NPI Number for MISS JENNIFER RAE EYERS (LADC) is 1245625755

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
MISS JENNIFER RAE EYERS (LADC)
NPI
1245625755
Phone
(507) 289-2089
Address
343 WOODLAKE DR SE
Enumeration Date
1 April 2015
Last Update Date
9 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5072183701
Graduation Year
1999 (27 years ago)
PAC ID
4082053889
Group Practice PAC ID
9335288786
Professional Enrollment ID
I20240412001568
Address ID
MN559018381RO5255XNWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for MISS JENNIFER RAE EYERS (LADC)

  • 343 WOODLAKE DR SE

    ROCHESTER, MN 559046242

    Phone: (507) 289-2089

    Fax: (507) 535-5785

    Type: Mailing

  • 5255 MEMBERS PKWY NW

    ROCHESTER, MN 559018381

    Phone: (507) 218-3701

    Fax: (507) 258-5503

    Type: Location

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: 2024-04-12

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
I20240412001568IMental 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 55904)

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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: 9335288786View full group profile
NameSpecialtyState
Nurse PractitionerMN
P S Y C H I A T R YMN
Nurse PractitionerMN
Mental Health CounselorFL
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Certified Clinical Nurse Specialist (Cns)MN

Reviews

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Frequently asked questions

Does MISS JENNIFER RAE EYERS (LADC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MISS JENNIFER RAE EYERS (LADC) uses 1245625755.
Can I rely on MISS JENNIFER RAE EYERS (LADC) being an active provider?
As of the registry snapshot, MISS JENNIFER RAE EYERS (LADC) is marked active.
What is MISS JENNIFER RAE EYERS (LADC)'s specialty?
The listing groups MISS JENNIFER RAE EYERS (LADC) with Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
Does MISS JENNIFER RAE EYERS (LADC) list a practice location?
Patients near Rochester, Minnesota may find MISS JENNIFER RAE EYERS (LADC) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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