JACOB THOMAS MINNIG MA, LPCC, LADC
NPI 1114660966
Counselor - Professional in Eagan, MN
About Jacob Thomas Minnig Ma, Lpcc, Ladc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB THOMAS MINNIG MA, LPCC, LADC (NPI 1114660966) is an individual professional provider in Eagan, Minnesota, licensed in Minnesota (4325) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacob Thomas Minnig Ma, Lpcc, Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jacob Minnig reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55411
- Reassigned Medicare billing, Minnesota enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EAGAN, MN 55121
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacob Minnig's NPI number?
The NPI number for Jacob Minnig is 1114660966. It was assigned to this individual provider in the NPPES registry on April 19, 2022.
Where is Jacob Minnig located?
Jacob Minnig practices at 1471 Highview Ave, Eagan, MN 55121. The listed phone number is (651) 233-8379.
What is Jacob Minnig's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jacob Minnig enrolled in Medicare?
Yes. Jacob Minnig is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jacob Minnig's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Minnig reassigns Medicare benefits to Twin Cities Recovery Gym & Wellness Center LLC (Minneapolis, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Minnig's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacob Minnig was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jacob Thomas Minnig, MA, LPCC, LADC · NPI 1114660966
Professional provider in Eagan, Minnesota. Individual provider, active in the CMS NPPES registry since April 19, 2022.
## Identity
- **NPI:** 1114660966 (Entity type: Individual)
- **Enumerated:** April 19, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 4325 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1471 HIGHVIEW AVE, Eagan, MN 55121-1143
- **Phone:** (651) 233-8379
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Twin Cities Recovery Gym & Wellness Center LLC (NPI 1487227161, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1114660966) · Data from the CMS NPPES public registry.