MR. ZACHARY JORDAN LEE MA, MBA, LADC, LPCC
NPI 1376482208
Counselor - Professional in Maplewood, MN

Active since March 26, 2026PECOS Enrolled
3100 KENNARD ST STE 250, MAPLEWOOD, MN 55109(651) 313-8080(651) 925-0610 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 17, 2026, Mar 26, 2026 (2 updates tracked since 2026).

About Mr. Zachary Jordan Lee Ma, Mba, Ladc, Lpcc NPPES

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

MR. ZACHARY JORDAN LEE MA, MBA, LADC, LPCC (NPI 1376482208) is an individual professional provider in Maplewood, Minnesota, licensed in Minnesota (5512) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1376482208
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. ZACHARY JORDAN LEECredential: MA, MBA, LADC, LPCC
Location Address3100 KENNARD ST STE 250Maplewood, MN 55109-5465
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 628-9566 · Fax (651) 628-0411
Fax(651) 925-0610
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 26, 2026
Last NPPES UpdateApril 17, 20262 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
✔ NPI 1376482208 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 · 5512
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 306832 (MN)
3100 KENNARD ST STE 250, Maplewood, MN 55109

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Zachary Jordan Lee Ma, Mba, Ladc, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911474051
PECOS Enrollment IDI20260427002272
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 Zachary Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
1900 SILVER LAKE RD NW, SUITE 110
New Brighton, MN 55112
  • Reassigned Medicare billing, Minnesota enrollment
  • 794 clinicians in this Medicare group

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 8

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

Marriage & Family Therapist
3100 KENNARD ST STE 250
MAPLEWOOD, MN 55109
Counselor (Professional)
3100 KENNARD ST STE 250
MAPLEWOOD, MN 55109
Counselor (Professional)
3100 KENNARD ST STE 250
MAPLEWOOD, MN 55109
Counselor (Mental Health)
3100 KENNARD ST STE 250
MAPLEWOOD, MN 55109
Counselor (Professional)
3100 KENNARD ST STE 250
MAPLEWOOD, MN 55109
Counselor (Professional)
3100 KENNARD ST STE 250
MAPLEWOOD, MN 55109
Social Worker (Clinical)
3100 KENNARD ST STE 250
MAPLEWOOD, MN 55109
Social Worker (Clinical)
3100 KENNARD ST STE 250
MAPLEWOOD, MN 55109

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 Zachary Lee's NPI number?

The NPI number for Zachary Lee is 1376482208. It was assigned to this individual provider in the NPPES registry on March 26, 2026.

Where is Zachary Lee located?

Zachary Lee practices at 3100 Kennard St Ste 250, Maplewood, MN 55109. The listed phone number is (651) 313-8080.

What is Zachary Lee's specialty?

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

Is Zachary Lee enrolled in Medicare?

Yes. Zachary Lee is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Zachary Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Lee reassigns Medicare benefits to Nystrom & Associates, Ltd (New Brighton, 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 Zachary Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zachary Lee accept?

Health plans from HealthPartners list Zachary Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Zachary Lee 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 6 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.