JACQUELINE BLEESS (MS, MA, LPCC, LADC) – Counselor, NPI 1285058164

JACQUELINE BLEESS (MS, MA, LPCC, LADC) is a healthcare provider. based in Cambridge, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS, MA, LPCC, LADC. They hold a License No. 302937 (MN). The NPI Number for JACQUELINE BLEESS (MS, MA, LPCC, LADC) is 1285058164

Main info

Female
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELINE BLEESS (MS, MA, LPCC, LADC)
NPI
1285058164
Phone
Not provided
Address
1823 NIXON ST S
Enumeration Date
12 February 2014
Last Update Date
24 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3206297600
Graduation Year
2002 (24 years ago)
PAC ID
6002319886
Group Practice PAC ID
4981877891
Professional Enrollment ID
I20250910000689
Address ID
MN550081298CA200XXNEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:12State licenses:2Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for JACQUELINE BLEESS (MS, MA, LPCC, LADC)

  • 1823 NIXON ST S

    CAMBRIDGE, MN 550088072

    Phone:

    Type: Mailing

  • 105 WEST MAIN STREET

    ISANTI, MN 55040

    Phone: (507) 461-4122

    Type: Location

  • 705 Hillside Ave SW

    Pine City, MN 550631466

    Phone: (320) 629-7600

    Type: Location

  • 33945 UNIVERSITY AVE NE

    CAMBRIDGE, MN 550087722

    Phone:

    Type: Mailing

  • 200 3RD AVE NE STE 100

    CAMBRIDGE, MN 550081298

    Phone: (320) 629-7600

    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: 2025-09-10

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
I20250910000689IMental 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 55008)

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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: 4981877891View full group profile
NameSpecialtyState
Clinical PsychologistMN
Clinical PsychologistMN
Mental Health CounselorMN
Clinical PsychologistMN
Clinical Social WorkerMN
Mental Health CounselorMN
Mental Health CounselorMN
Clinical Social WorkerMN
Clinical PsychologistMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

How is JACQUELINE BLEESS (MS, MA, LPCC, LADC) identified in CMS data?
CMS-hosted NPPES data lists JACQUELINE BLEESS (MS, MA, LPCC, LADC) with NPI 1285058164.
Is JACQUELINE BLEESS (MS, MA, LPCC, LADC) listed as active for patients and plans?
The listing shows JACQUELINE BLEESS (MS, MA, LPCC, LADC) as active in the NPI system.
What healthcare role does JACQUELINE BLEESS (MS, MA, LPCC, LADC) hold?
Scheduling teams often label JACQUELINE BLEESS (MS, MA, LPCC, LADC) under Counselor. Clinical services aligned with this taxonomy classification.
Where is JACQUELINE BLEESS (MS, MA, LPCC, LADC) based?
JACQUELINE BLEESS (MS, MA, LPCC, LADC) is tied to Cambridge, Minnesota in the data we show; additional addresses may exist on the full record.
Is the information about JACQUELINE BLEESS (MS, MA, LPCC, LADC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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