JAN MARIE D'AMBROSIO MA, LMFT
NPI 1538625256
Counselor - Mental Health in Champlin, MN

Active since February 18, 2019PECOS EnrolledAccepts Medicare Assignment
11141 ZEALAND AVE N, CHAMPLIN, MN 55316(763) 951-3091 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 8, 2022, Feb 20, 2019 (2 updates tracked since 2019).

About Jan Marie D'ambrosio Ma, Lmft NPPES

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

JAN MARIE D'AMBROSIO MA, LMFT (NPI 1538625256) is an individual mental health provider in Champlin, Minnesota and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1538625256
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJAN MARIE D'AMBROSIOCredential: MA, LMFT
Location Address11141 ZEALAND AVE NChamplin, MN 55316-3595
Mailing Address475 W Eagle Lake DrMaple Grove, MN 55369-5528 · (612) 351-2283
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 18, 2019
Last NPPES UpdateAugust 8, 20222 updates tracked since enumeration
NPPES CertifiedAugust 8, 2022
NPI 1538625256 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
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 3856 (MN)
11141 ZEALAND AVE N, Champlin, MN 55316

Other Names 1

Other Name (5)Jan D'ambrosio Hintze

Accepted Insurance

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

Jan Marie D'ambrosio Ma, Lmft 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 ID5092160507
PECOS Enrollment IDI20250602000151
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 13

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

Counselor (Mental Health)
11141 ZEALAND AVE N
CHAMPLIN, MN 55316
Marriage & Family Therapist
11141 ZEALAND AVE N
CHAMPLIN, MN 55316
Social Worker
11141 ZEALAND AVE N
CHAMPLIN, MN 55316
Marriage & Family Therapist
11141 ZEALAND AVE N
CHAMPLIN, MN 55316
Social Worker (Clinical)
11141 ZEALAND AVE N
CHAMPLIN, MN 55316
Counselor (Professional)
11141 ZEALAND AVE N
CHAMPLIN, MN 55316
Counselor (Mental Health)
11141 ZEALAND AVE N
CHAMPLIN, MN 55316
Social Worker
11141 ZEALAND AVE N
CHAMPLIN, MN 55316

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 Jan D'ambrosio's NPI number?

The NPI number for Jan D'ambrosio is 1538625256. It was assigned to this individual provider in the NPPES registry on February 18, 2019. The provider is also known as Jan D'ambrosio Hintze.

Where is Jan D'ambrosio located?

Jan D'ambrosio practices at 11141 Zealand Ave N, Champlin, MN 55316. The listed phone number is (763) 951-3091.

What is Jan D'ambrosio's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jan D'ambrosio enrolled in Medicare?

Yes. Jan D'ambrosio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jan D'ambrosio accept?

Health plans from HealthPartners list Jan D'ambrosio 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 Jan D'ambrosio was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.