JASON MICHAEL WALTER LPCC, LADC
NPI 1417405317
Counselor - Mental Health in Lake Elmo, MN

Active since September 20, 2016
8530 EAGLE POINT BLVD STE 100, LAKE ELMO, MN 55042(612) 562-6766(612) 638-6601 Get Directions Write a Review

NPPES record last updated: November 30, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 30, 2018, Sep 20, 2016 (2 updates tracked since 2016).

About Jason Michael Walter Lpcc, Ladc NPPES

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

JASON MICHAEL WALTER LPCC, LADC (NPI 1417405317) is an individual mental health provider in Lake Elmo, Minnesota, licensed in Minnesota (01898) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1417405317
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJASON MICHAEL WALTERCredential: LPCC, LADC
Location Address8530 EAGLE POINT BLVD STE 100Lake Elmo, MN 55042-8648
Mailing Address6656 Pine Crest Trl SCottage Grove, MN 55016-4679 · (612) 562-6766 · Fax (612) 638-6601
Fax(612) 638-6601
Sole ProprietorYes
Enumeration DateSeptember 20, 2016
Last NPPES UpdateNovember 30, 20182 updates tracked since enumeration
NPI 1417405317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MN · 01898
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 304589 (MN)
8530 EAGLE POINT BLVD STE 100, Lake Elmo, MN 55042

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
8530 EAGLE POINT BLVD STE 100
LAKE ELMO, MN 55042
Counselor (Mental Health)
8530 EAGLE POINT BLVD STE 100
LAKE ELMO, MN 55042
Massage Therapist
8530 EAGLE POINT BLVD STE 100
LAKE ELMO, MN 55042
In Home Supportive Care
8530 EAGLE POINT BLVD STE 100
LAKE ELMO, MN 55042
Clinic/Center (Mental Health (Including Community Mental Health Center))
8530 EAGLE POINT BLVD STE 100
LAKE ELMO, MN 55042
Social Worker (Clinical)
8530 EAGLE POINT BLVD STE 100
LAKE ELMO, MN 55042
Clinic/Center (Mental Health (Including Community Mental Health Center))
8530 EAGLE POINT BLVD STE 100
LAKE ELMO, MN 55042
In Home Supportive Care
8530 EAGLE POINT BLVD STE 100
LAKE ELMO, MN 55042

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417405317, enumerated as an "individual" on September 20, 2016.

The provider is located at 8530 EAGLE POINT BLVD STE 100 LAKE ELMO, MN 55042 and the phone number is (612) 562-6766.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Oscar Health Plan, Inc. and UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.