COREEN TRACEE JANDER MA (LPCC-TX)
NPI 1184364234
Counselor - Professional in Chaska, MN

Q: What is Coreen Jander's NPI number?

The NPI number for Coreen Jander is 1184364234. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Q: What is Coreen Jander's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Coreen Jander was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since March 29, 2022PECOS EnrolledAccepts Medicare Assignment

1107 HAZELTINE BLVD STE 370, CHASKA, MN 55318(952) 395-1441(952) 395-1442 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Coreen Tracee Jander Ma (lpcc-tx) NPPES

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

COREEN TRACEE JANDER MA (LPCC-TX) (NPI 1184364234) is an individual professional provider in Chaska, Minnesota, licensed in Texas (63182) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1184364234

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameCOREEN TRACEE JANDERCredential: MA (LPCC-TX)

Location Address1107 HAZELTINE BLVD STE 370Chaska, MN 55318-1009

Mailing Address1107 Hazeltine Blvd Ste 370Chaska, MN 55318-1009 · (952) 395-1441 · Fax (952) 395-1442

Phone(952) 395-1441

Fax(952) 395-1442

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateMarch 29, 2022

NPPES CertifiedMarch 29, 2022

✔ NPI 1184364234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TX · 63182

1107 HAZELTINE BLVD STE 370, Chaska, MN 55318

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Coreen Tracee Jander Ma (lpcc-tx) is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769825314

PECOS Enrollment IDI20240210000067

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.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA KRIEGER

Counselor (Addiction (Substance Use Disorder))