OLD GROWTH HEALING LLC
NPI 1659064293
Social Worker - Clinical in Northfield, MN

Q: What is Old Growth Healing LLC's NPI number?

The NPI number for Old Growth Healing LLC is 1659064293. It was assigned to this organization in the NPPES registry on May 30, 2023. The provider is doing business as Old Growth Healing.

Q: What is Old Growth Healing LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since May 30, 2023

220 DIVISION ST S STE 2, NORTHFIELD, MN 55057(952) 457-3469 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Old Growth Healing Llc NPPES

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

OLD GROWTH HEALING LLC (NPI 1659064293), doing business as Old Growth Healing, is a healthcare organization registered as a clinical in Northfield, Minnesota and active in the NPI registry since May 2023. The organization lists Katie Jacobi, Owner/psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1659064293

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameOLD GROWTH HEALING LLC

Location Address220 DIVISION ST S STE 2Northfield, MN 55057-2046

Mailing Address220 Division St SNorthfield, MN 55057-2046 · (952) 457-3469

Phone(952) 457-3469

Organization SubpartNo

Authorized OfficialKatie JacobiOwner/psychotherapist · (952) 457-3469

Enumeration DateMay 30, 2023

NPPES CertifiedMay 30, 2023

✔ NPI 1659064293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

220 DIVISION ST S STE 2, Northfield, MN 55057

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Other Names 1

Doing Business AsOld Growth Healing

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Old Growth Healing Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Old Growth Healing LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Katie Jacobi

Clinical Social Worker

NPI 1164962957

401 DIVISION ST S SUITE C
Northfield, MN 55057

(651) 605-6020

✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Old Growth Healing LLC's NPI number?

The NPI number for Old Growth Healing LLC is 1659064293. It was assigned to this organization in the NPPES registry on May 30, 2023. The provider is doing business as Old Growth Healing.

Where is Old Growth Healing LLC located?

Old Growth Healing LLC is located at 220 Division St S Ste 2, Northfield, MN 55057. The listed phone number is (952) 457-3469.

What is Old Growth Healing LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Old Growth Healing LLC enrolled in Medicare?

Yes. Old Growth Healing LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Old Growth Healing LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Old Growth Healing LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Old Growth Healing LLC was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.