JTCounseling Services – Mental Health Counselor, NPI 1063923043
Mental Health Counselor
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JTCounseling Services
5810 LONG PRAIRIE RD STE 700
FLOWER MOUND, TX 750282591
Phone:
Type: Mailing
5060 Holly Ln N Unit 4
Plymouth, MN 554461763
Phone: (612) 516-3054
Type: Location
4301 Highway 7 Ste 200
Saint Louis Park, MN 554165808
Phone: (612) 756-9107
Type: Location
1517 Highway 13 E
Burnsville, MN 553372917
Phone: (612) 756-9107
Type: Location
2483 15th St NW Ste A
New Brighton, MN 551125604
Phone: (612) 756-9107
Type: Location
Carriage Way, Ravinia, Corcoran, Hennepin County, Minnesota, 55340, United States
CORCORAN, MN 553404443
Phone:
Type: Mailing
Holly Lane North, Plum Tree East, Plymouth, Hennepin County, Minnesota, 55446, United States
PLYMOUTH, MN 554461763
Phone: (612) 516-3054
Type: Location
3208 EMORY DR
FLOWER MOUND, TX 750224861
Phone: (612) 756-9107
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: 2024-12-03
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 |
|---|---|---|---|---|
| O20241203003044 | O | Clinic/Group Practice | TX | 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 75028)
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