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JONAH CARLSTROM MA
NPI 1306686662
Counselor - Professional in Saint Paul, MN

Active since May 24, 2024PECOS Enrolled
871 JEFFERSON AVE, SAINT PAUL, MN 55102(612) 424-9983 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jonah Carlstrom Ma NPPES

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

JONAH CARLSTROM MA (NPI 1306686662) is an individual professional provider in Saint Paul, Minnesota and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1306686662
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJONAH CARLSTROMCredential: MA
Location Address871 JEFFERSON AVESaint Paul, MN 55102-2506
Mailing Address383 River RdHudson, WI 54016-6708
Phone(612) 424-9983
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 24, 2024
NPPES CertifiedMay 24, 2024
✔ NPI 1306686662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
871 JEFFERSON AVE, Saint Paul, MN 55102
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonah Carlstrom Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517454663
PECOS Enrollment IDI20251014001096
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.

Medicare Billing Reassignment

Medicare enrollment records show Jonah Carlstrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Novare Counseling Center, P. A.
Same address
Professional
871 JEFFERSON AVE
Saint Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • 5 clinicians in this Medicare group
NPI 1912394099 (612) 424-9983

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 10

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

MS. VICENTA DEL CARMEN VALERO-JAROZEWSKI LPCC, LADC
Counselor (Mental Health)
871 JEFFERSON AVE
SAINT PAUL, MN 55102
Ramsey County (651) 252-1175
MR. JEFFREY RAICH LICSW
Social Worker (Clinical)
871 JEFFERSON AVE
SAINT PAUL, MN 55102
Ramsey County (651) 408-5069
BEING
Social Worker (Clinical)
871 JEFFERSON AVE
SAINT PAUL, MN 55102
Ramsey County (651) 456-8912
ERIN MURPHY LPC
Counselor (Professional)
871 JEFFERSON AVE
SAINT PAUL, MN 55102
Ramsey County (612) 424-9983
MR. DANIEL JAMES STOKMAN LPCC
Counselor (Professional)
871 JEFFERSON AVE
SAINT PAUL, MN 55102
Ramsey County (651) 587-1807
SAVANNAH COURTEAU
Counselor (Professional)
871 JEFFERSON AVE
SAINT PAUL, MN 55102
Ramsey County (612) 424-9983
TERESA PETRUCCELLI
Counselor (Professional)
871 JEFFERSON AVE
SAINT PAUL, MN 55102
Ramsey County (612) 424-9983
THE HEALING PLACE LLC
Counselor (Mental Health)
871 JEFFERSON AVE
SAINT PAUL, MN 55102
Ramsey County (651) 252-1175

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 Jonah Carlstrom's NPI number?

The NPI number for Jonah Carlstrom is 1306686662. It was assigned to this individual provider in the NPPES registry on May 24, 2024.

Where is Jonah Carlstrom located?

Jonah Carlstrom practices at 871 Jefferson Ave, Saint Paul, MN 55102. The listed phone number is (612) 424-9983.

What is Jonah Carlstrom's specialty?

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

Is Jonah Carlstrom enrolled in Medicare?

Yes. Jonah Carlstrom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jonah Carlstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonah Carlstrom reassigns Medicare benefits to Novare Counseling Center, P. A. (Saint Paul, 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 Jonah Carlstrom'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 Jonah Carlstrom was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.