JADE NICOLE AHLSTRAND MS, NCC, PILT, LPCC
NPI 1346907771
Counselor - Professional in Plymouth, MN

Q: What is Jade Ahlstrand's NPI number?

The NPI number for Jade Ahlstrand is 1346907771. It was assigned to this individual provider in the NPPES registry on November 19, 2021.

Q: What is Jade Ahlstrand'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 Jade Ahlstrand was last updated on June 21, 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.

Active since November 19, 2021PECOS EnrolledAccepts Medicare Assignment

2855 CAMPUS DR STE 660, PLYMOUTH, MN 55441(763) 577-7900(763) 577-7905 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2024, Jan 5, 2024, Nov 19, 2021 (3 updates tracked since 2021).

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About Jade Nicole Ahlstrand Ms, Ncc, Pilt, Lpcc NPPES

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

JADE NICOLE AHLSTRAND MS, NCC, PILT, LPCC (NPI 1346907771) is an individual professional provider in Plymouth, Minnesota, licensed in Minnesota (4098) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1346907771

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJADE NICOLE AHLSTRANDCredential: MS, NCC, PILT, LPCC

Location Address2855 CAMPUS DR STE 660Plymouth, MN 55441-2665

Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000 · Fax (612) 262-9035

Phone(763) 577-7900

Fax(763) 577-7905

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 19, 2021

Last NPPES UpdateJune 21, 20243 updates tracked since enumeration

NPPES CertifiedJune 21, 2024

✔ NPI 1346907771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MN · 4098

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2855 CAMPUS DR STE 660, Plymouth, MN 55441

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Secondary Practice Location 1

Location 13012 W 44th StMinneapolis, MN 55410-1553 · Phone (651) 645-5323 ext. 2439 · Fax (651) 348-3368

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

Jade Nicole Ahlstrand Ms, Ncc, Pilt, Lpcc 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 ID7810348893

PECOS Enrollment IDI20240104001680

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 5

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

LEAH MARIE LEWIS LICSW

Social Worker (Clinical)