MISS JILL MARIE STALOCH MA, LPCC
NPI 1265677256
Counselor - Professional in Jordan, MN

Q: What is Jill Staloch's NPI number?

The NPI number for Jill Staloch is 1265677256. It was assigned to this individual provider in the NPPES registry on December 5, 2008.

Q: What is Jill Staloch'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 Jill Staloch was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 05, 2008PECOS Enrolled

6245 W 214TH ST, JORDAN, MN 55352(612) 743-4663 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2026, Mar 12, 2026 (2 updates tracked since 2026).

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About Miss Jill Marie Staloch Ma, Lpcc NPPES

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

MISS JILL MARIE STALOCH MA, LPCC (NPI 1265677256) is an individual professional provider in Jordan, Minnesota, licensed in Minnesota (209) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1265677256

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMISS JILL MARIE STALOCHCredential: MA, LPCC

Location Address6245 W 214TH STJordan, MN 55352-8646

Mailing Address6245 W 214th StJordan, MN 55352-8646 · (612) 743-4663

Phone(612) 743-4663

Sole ProprietorYes

Medical School CMSOtherGraduated 2005

Enumeration DateDecember 5, 2008

Last NPPES UpdateApril 17, 20262 updates tracked since enumeration

NPPES CertifiedApril 17, 2026

✔ NPI 1265677256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in MN · 209✔ Licensed in WI · 12241-125

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 137856 (IA)

6245 W 214TH ST, Jordan, MN 55352

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Jill Marie Staloch Ma, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193219681

PECOS Enrollment IDI20251211002283

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 Jill Staloch's NPI number?

The NPI number for Jill Staloch is 1265677256. It was assigned to this individual provider in the NPPES registry on December 5, 2008.

Where is Jill Staloch located?

Jill Staloch practices at 6245 W 214th St, Jordan, MN 55352. The listed phone number is (612) 743-4663.

What is Jill Staloch's specialty?

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

Is Jill Staloch enrolled in Medicare?

Yes. Jill Staloch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jill Staloch was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.