MS. JENNIFER MARIE NELSON (MA) – Community/Behavioral Health Agency, NPI 1912925017
Community/Behavioral Health Agency
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,813 MENTAL HEALTH COUNSELOR in MN
Provider Addresses for MS. JENNIFER MARIE NELSON (MA)
8085 WAYZATA BLVD SUITE 215
GOLDEN VALLEY, MN 55426
Phone: (206) 947-2645
Fax: (651) 493-2798
Type: Mailing
I-405 Corporate Center, 301, 116th Avenue Southeast, Bellevue, King County, Washington, 98004, United States
SUITE 105
BELLEVUE, WA 980046444
Phone: (425) 454-1919
Type: Location
Cap Hansen's, 209, East Chestnut Street, City Center, Bellingham, Whatcom County, Washington, 98225, United States
BELLINGHAM, WA 982255241
Phone: (360) 788-6565
Fax: (360) 788-6567
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: 2025-03-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250306001226 | I | Mental Health Counselor | WA | TBD |
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.
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 55426)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MD | |
| Mental Health Counselor | MD | |
| Clinical Social Worker | MA | |
| Clinical Social Worker | MA | |
| Clinical Social Worker | VA | |
| Mental Health Counselor | WV | |
| Clinical Social Worker | VA | |
| Clinical Social Worker | MD | |
| Mental Health Counselor | VA | |
| Clinical Social Worker | SC |
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