JAKE TASTAD
NPI 1346088200
Counselor in Shakopee, MN
About Jake Tastad NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAKE TASTAD (NPI 1346088200) is an individual counselor in Shakopee, Minnesota and active in the NPI registry since July 2024. He maintains a secondary practice location in Waconia.
NPPES Registry Identity
Specialties & Licenses
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Secondary Practice Location 1
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHAKOPEE, MN 55379
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 Jake Tastad's NPI number?
The NPI number for Jake Tastad is 1346088200. It was assigned to this individual provider in the NPPES registry on July 16, 2024.
Where is Jake Tastad located?
Jake Tastad practices at 100 Fuller St S, Shakopee, MN 55379. The listed phone number is (888) 953-4955.
What is Jake Tastad's specialty?
The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.
When was this NPI record last updated?
The NPPES record for Jake Tastad was last updated on July 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.