JENNIFER OSTROM LADC, LPCC
NPI 1649932302
Counselor - Professional in Minneapolis, MN

Active since October 11, 2021PECOS Enrolled
1422 W LAKE ST STE 314, MINNEAPOLIS, MN 55408(612) 445-0225 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2025, Oct 11, 2021 (2 updates tracked since 2021).

About Jennifer Ostrom Ladc, Lpcc NPPES

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

JENNIFER OSTROM LADC, LPCC (NPI 1649932302) is an individual professional provider in Minneapolis, Minnesota, licensed in Minnesota (5363) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1649932302
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNIFER OSTROMCredential: LADC, LPCC
Location Address1422 W LAKE ST STE 314Minneapolis, MN 55408-2616
Mailing Address104 E 36th StMinneapolis, MN 55408-4538 · (612) 209-0046
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 11, 2021
Last NPPES UpdateDecember 23, 20252 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
NPI 1649932302 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 · 5363
1422 W LAKE ST STE 314, Minneapolis, MN 55408

Other Names 1

Other Name (5)Jennifer Ostrom-undis Ladc, Lpcc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jennifer Ostrom Ladc, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254810708
PECOS Enrollment IDI20260205002138
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 2

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

Social Worker (Clinical)
1422 W LAKE ST STE 314
MINNEAPOLIS, MN 55408
Counselor (Mental Health)
1422 W LAKE ST STE 314
MINNEAPOLIS, MN 55408

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 Jennifer Ostrom's NPI number?

The NPI number for Jennifer Ostrom is 1649932302. It was assigned to this individual provider in the NPPES registry on October 11, 2021. The provider is also known as Jennifer Ostrom-Undis Ladc, Lpcc.

Where is Jennifer Ostrom located?

Jennifer Ostrom practices at 1422 W Lake St Ste 314, Minneapolis, MN 55408. The listed phone number is (612) 445-0225.

What is Jennifer Ostrom's specialty?

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

Is Jennifer Ostrom enrolled in Medicare?

Yes. Jennifer Ostrom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Ostrom was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.