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JOHN AMBROSE LPCC
NPI 1881364008
Counselor - Professional in Coon Rapids, MN

Active since September 18, 2021PECOS Enrolled
11660 ROUND LAKE BLVD NW, COON RAPIDS, MN 55433(763) 767-3350(763) 767-0912 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 9, 2025, Sep 18, 2021 (2 updates tracked since 2021).

About John Ambrose Lpcc NPPES

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

JOHN AMBROSE LPCC (NPI 1881364008) is an individual professional provider in Coon Rapids, Minnesota, licensed in Minnesota (3440) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881364008
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJOHN AMBROSECredential: LPCC
Location Address11660 ROUND LAKE BLVD NWCoon Rapids, MN 55433-2638
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 628-9566 · Fax (651) 628-0411
Phone(763) 767-3350
Fax(763) 767-0912
Sole ProprietorNo
Enumeration DateSeptember 18, 2021
Last NPPES UpdateJanuary 16, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2025
✔ NPI 1881364008 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 · 3440
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 3440 (MN)
11660 ROUND LAKE BLVD NW, Coon Rapids, MN 55433
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Ambrose Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 John Ambrose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nystrom & Associates, Ltd
10 mi
Clinical
1900 SILVER LAKE RD NW, SUITE 110
New Brighton, MN 55112
  • Reassigned Medicare billing, Minnesota enrollment
  • 794 clinicians in this Medicare group
NPI 1396750188 (651) 628-9566

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.

RUTH EILTS
Social Worker (Clinical)
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
MELANIE CARLSON-KAPPES MA, LMFT
Marriage & Family Therapist
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
CHARLES LOCHNER MA
Counselor (Professional)
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
MIRANDA K LUTTERMAN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
CALSI GILBERTSON
Counselor (Addiction (Substance Use Disorder))
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
CATHERINE JANE LUITJENS LP
Psychologist
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
AUGUSTUS KJOLHAUG MA
Counselor (Professional)
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
MR. STEPHEN PAUL MONTRY LADC
Counselor (Addiction (Substance Use Disorder))
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350

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 John Ambrose's NPI number?

The NPI number for John Ambrose is 1881364008. It was assigned to this individual provider in the NPPES registry on September 18, 2021.

Where is John Ambrose located?

John Ambrose practices at 11660 Round Lake Blvd NW, Coon Rapids, MN 55433. The listed phone number is (763) 767-3350.

What is John Ambrose's specialty?

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

Is John Ambrose enrolled in Medicare?

Yes. John Ambrose is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Ambrose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Ambrose reassigns Medicare benefits to Nystrom & Associates, Ltd (New Brighton, MN). 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 John Ambrose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Ambrose accept?

Health plans from HealthPartners list John Ambrose 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 John Ambrose was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.