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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: August 02, 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
Phone(651) 313-8080
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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

LINDSAY JORDAN M.A. LMFT
Marriage & Family Therapist
3100 KENNARD ST STE 250
MAPLEWOOD, MN 55109
Ramsey County (651) 313-8080
MADELEINE JOLIE KOPP MS, LPCC
Counselor (Professional)
3100 KENNARD ST STE 250
MAPLEWOOD, MN 55109
Ramsey County (651) 565-1826
BRIANA MONSON MA
Counselor (Mental Health)
3100 KENNARD ST STE 250
MAPLEWOOD, MN 55109
Ramsey County (612) 470-7703
HUNTER O DUFFY
Counselor (Mental Health)
3100 KENNARD ST STE 250
MAPLEWOOD, MN 55109
Ramsey County (612) 208-9350
SOPHIE TEAGUE MS, LADC, LPCC
Counselor (Professional)
3100 KENNARD ST STE 250
MAPLEWOOD, MN 55109
Ramsey County (651) 313-8080
WENDY FLORENCE RAUSCHKE MA, LPCC
Counselor (Professional)
3100 KENNARD ST STE 250
MAPLEWOOD, MN 55109
Ramsey County (651) 313-8080
KELLI LYNN TISCHER MSW, LICSW
Social Worker (Clinical)
3100 KENNARD ST STE 250
MAPLEWOOD, MN 55109
Ramsey County (651) 313-8080
MS. HEATHER HALL MSW, LGSW
Social Worker (Clinical)
3100 KENNARD ST STE 250
MAPLEWOOD, MN 55109
Ramsey County (612) 801-7119

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.

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 3 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.