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JACOB KINNEN LAPC
NPI 1811733033
Counselor - Professional in Fargo, ND

Active since July 08, 2024PECOS Enrolled
2701 12TH AVE S, FARGO, ND 58103(701) 451-4900(651) 925-0057 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jacob Kinnen Lapc NPPES

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

JACOB KINNEN LAPC (NPI 1811733033) is an individual professional provider in Fargo, North Dakota, licensed in North Dakota (1373-7-1-24A) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1811733033
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJACOB KINNENCredential: LAPC
Location Address2701 12TH AVE SFargo, ND 58103-8753
Mailing Address2701 12th Ave SFargo, ND 58103-8753 · (701) 451-4900 · Fax (651) 925-0057
Phone(701) 451-4900
Fax(651) 925-0057
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 8, 2024
NPPES CertifiedJuly 8, 2024
✔ NPI 1811733033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ND · 1373-7-1-24A
2701 12TH AVE S, Fargo, ND 58103
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Kinnen Lapc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143787283
PECOS Enrollment IDI20260807002583
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.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Kinnen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Village Family Service Center
Same address
Mental Health (Including Community Mental Health Center)
2701 12TH AVE S
Fargo, ND 58103
  • Reassigned Medicare billing, North Dakota enrollment
  • 33 clinicians in this Medicare group
NPI 1568492353 (701) 451-4900

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

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.

RACHEL A BLUMHARDT
Counselor (Professional)
2701 12TH AVE S
FARGO, ND 58103
Cass County (701) 451-4900
KAITLIN DOYLE LAPC
Counselor (Professional)
2701 12TH AVE S
FARGO, ND 58103
Cass County (701) 451-4900
CALLIE DENISE BERG LAPC
Counselor (Professional)
2701 12TH AVE S
FARGO, ND 58103
Cass County (701) 451-4900
TYRZA HOINES
Counselor (Professional)
2701 12TH AVE S
FARGO, ND 58103
Cass County (701) 451-4900
MRS. PEGGY L STENEHJEM-TITUS M.ED, LAC
Counselor (Addiction (Substance Use Disorder))
2701 12TH AVE S
FARGO, ND 58103
Cass County (701) 451-4900
KATIE ROACH LPCC
Counselor (Professional)
2701 12TH AVE S
FARGO, ND 58103
Cass County (701) 451-4900
JULIA STEVENS LAPC
Counselor (Professional)
2701 12TH AVE S
FARGO, ND 58103
Cass County (701) 451-4900
TATUM DOPPLER LAPC
Counselor (Professional)
2701 12TH AVE S
FARGO, ND 58103
Cass County (701) 451-4900

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 Jacob Kinnen's NPI number?

The NPI number for Jacob Kinnen is 1811733033. It was assigned to this individual provider in the NPPES registry on July 8, 2024.

Where is Jacob Kinnen located?

Jacob Kinnen practices at 2701 12th Ave S, Fargo, ND 58103. The listed phone number is (701) 451-4900.

What is Jacob Kinnen's specialty?

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

Is Jacob Kinnen enrolled in Medicare?

Yes. Jacob Kinnen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacob Kinnen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Kinnen reassigns Medicare benefits to Village Family Service Center (Fargo, ND). The 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 Jacob Kinnen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Kinnen accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Jacob Kinnen 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 Jacob Kinnen was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.