JAMIE LARSON JONES (R.D., M.S., L.P.C.C.) – Counselor, NPI 1275605388

JAMIE LARSON JONES (R.D., M.S., L.P.C.C.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials R.D., M.S., L.P.C.C.. They hold a License No. 1363 (MN). The NPI Number for JAMIE LARSON JONES (R.D., M.S., L.P.C.C.) is 1275605388

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JAMIE LARSON JONES (R.D., M.S., L.P.C.C.)
NPI
1275605388
Phone
(612) 825-4792
Address
4208 PARK GLEN RD
Enumeration Date
14 November 2006
Last Update Date
18 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6128254792
Graduation Year
2012 (14 years ago)
PAC ID
4880129329
Group Practice PAC ID
4284169723
Professional Enrollment ID
I20241121001106
Address ID
MN554164758MI4208XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for JAMIE LARSON JONES (R.D., M.S., L.P.C.C.)

  • 4208 PARK GLEN RD

    MINNEAPOLIS, MN 554164758

    Phone: (612) 825-4792

    Type: Mailing

  • Metro Boulevard, Cahill, Edina, Hennepin County, Minnesota, 55439, United States

    EDINA, MN 554392321

    Phone: (612) 615-2700

    Fax: (952) 835-6134

    Type: Mailing

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: 2024-11-21

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
I20241121001106IMental 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: 4284169723View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical PsychologistMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

Can I verify JAMIE LARSON JONES (R.D., M.S., L.P.C.C.) with an NPI only?
You can start verification with NPI 1275605388 for JAMIE LARSON JONES (R.D., M.S., L.P.C.C.), then check state licensing separately.
Can I rely on JAMIE LARSON JONES (R.D., M.S., L.P.C.C.) being an active provider?
As of the registry snapshot, JAMIE LARSON JONES (R.D., M.S., L.P.C.C.) is marked active.
What is JAMIE LARSON JONES (R.D., M.S., L.P.C.C.)'s specialty?
The listing groups JAMIE LARSON JONES (R.D., M.S., L.P.C.C.) with Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect JAMIE LARSON JONES (R.D., M.S., L.P.C.C.) on a map?
Expect Minneapolis, Minnesota as a primary anchor for JAMIE LARSON JONES (R.D., M.S., L.P.C.C.) unless the record lists multiple sites.
Is the information about JAMIE LARSON JONES (R.D., M.S., L.P.C.C.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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