Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACKIE ELVEHJEM
NPI 1154019503
Counselor - Mental Health in Saint Cloud, MN

Active since April 25, 2023PECOS Enrolled
606 25TH AVE S STE 201, SAINT CLOUD, MN 56301(612) 682-5652 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jackie Elvehjem NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE ELVEHJEM (NPI 1154019503) is an individual mental health provider in Saint Cloud, Minnesota, licensed in Minnesota (CC03244) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1154019503
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACKIE ELVEHJEM
Location Address606 25TH AVE S STE 201Saint Cloud, MN 56301-4818
Mailing Address1221 29th Ave NSaint Cloud, MN 56303-1645 · (320) 424-3326
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 25, 2023
Last NPPES UpdateAugust 28, 2026
NPPES CertifiedAugust 28, 2026
NPI 1154019503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MN · CC03244
606 25TH AVE S STE 201, Saint Cloud, MN 56301

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jackie Elvehjem is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537510425
PECOS Enrollment IDI20240104002208
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Jackie Elvehjem's NPI number?

The NPI number for Jackie Elvehjem is 1154019503. It was assigned to this individual provider in the NPPES registry on April 25, 2023.

Where is Jackie Elvehjem located?

Jackie Elvehjem practices at 606 25th Ave S Ste 201, Saint Cloud, MN 56301. The listed phone number is (612) 682-5652.

What is Jackie Elvehjem's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jackie Elvehjem enrolled in Medicare?

Yes. Jackie Elvehjem is registered in the Medicare PECOS enrollment system.

What insurance does Jackie Elvehjem accept?

Health plans from HealthPartners and Sanford Health Plan list Jackie Elvehjem as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackie Elvehjem was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.