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JAKE TASTAD
NPI 1346088200
Counselor in Shakopee, MN

Active since July 16, 2024
100 FULLER ST S, SHAKOPEE, MN 55379(888) 953-4955 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 25, 2024, Jul 16, 2024 (2 updates tracked since 2024).

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

NPI1346088200
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJAKE TASTAD
Location Address100 FULLER ST SShakopee, MN 55379-1348
Mailing Address100 Fuller St SShakopee, MN 55379-1348
Phone(888) 953-4955
Sole ProprietorNo
Enumeration DateJuly 16, 2024
Last NPPES UpdateJuly 25, 20242 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
✔ NPI 1346088200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
100 FULLER ST S, Shakopee, MN 55379
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Secondary Practice Location 1

Location 19382 Oak AveWaconia, MN 55387-9422 · Phone (855) 454-2463

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.

MRS. CHANTAL MARIA JACOBA WOHNOUTKA
Social Worker
100 FULLER ST S
SHAKOPEE, MN 55379
Scott County (855) 454-2963
LAKES PSYCHOLOGICAL PRACTICE, LLC
Psychologist
100 FULLER ST S
SHAKOPEE, MN 55379
Scott County (612) 568-1475
LIVING ANGELS, LLC
Home Health
100 FULLER ST S, SUITE 220
SHAKOPEE, MN 55379
Scott County (952) 233-5600
DR. CHRISTOPHER MICHAEL FISCHER PSY.D.
Psychologist
100 FULLER ST S
SHAKOPEE, MN 55379
Scott County (952) 240-9012
JENNIFER TSCHIMPERLE H.I.S.
Hearing Instrument Specialist
100 FULLER ST S, SUITE 135
SHAKOPEE, MN 55379
Scott County (952) 402-0944

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 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.