Individual provider Active NPI

Lauren Louise Jasperson, MS, LADC, LPCC

  • Professional Counselor
  • Minneapolis, MN
National Provider Identifier
1033767249
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC02202 Issued in MN
Practice address
1153 16TH Ave SE Ste 114
Minneapolis, MN 55414-2495
Phone
(763) 297-2946
Fax
(763) 575-8054
NPI assigned
Aug 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC02202 MN Primary

Addresses

Primary practice location

1153 16TH Ave SE Ste 114
Minneapolis, MN 55414-2495

Mailing address

1153 16TH Ave SE Ste 114
Minneapolis, MN 55414-2495
Phone (763) 297-2946

Other names 1

  • Lauren Louise Holmes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118003219 MN Practitioner - Mental Health Counselor 0648622282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CC02202MNMDProfessional Counselor
2202MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren Jasperson Psychotherapy, LLC (Dba - Allium Psychotherapy) Professional Current Accepting new patients
Optum Behavioral Care of Colorado PC PastSince Jan 1, 2024 Accepting new patients

Locations

1153 16th Ave SE
Ste 114
Minneapolis, MN 55414
Phone (651) 800-7627

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1033767249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 16TH AVE SE STE 114",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554142495",
            "telephone_number": "763-297-2946",
            "fax_number": "763-575-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 16TH AVE SE STE 114",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554142495",
            "telephone_number": "763-297-2946",
            "fax_number": "763-575-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASPERSON",
        "first_name": "LAUREN",
        "middle_name": "LOUISE",
        "credential": "MS, LADC, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC02202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "HOLMES",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.