Active NPI
Jacob Thomas Minnig, MA, LPCC, LADC
- Professional Counselor
- Eagan, MN
National Provider Identifier
1114660966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4325
- Practice address
- 1471 Highview Ave
Eagan, MN 55121-1143 - Phone
- (651) 233-8379
- NPI assigned
- Apr 19, 2022
- Last updated
- Mar 18, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 305842 | MN | |
| Mental Health Counselor | 101YM0800X | 04325 | MN | |
| Professional Counselor | 101YP2500X | 4325 | MN | Primary |
Addresses
Primary practice location
1471 Highview Ave
Eagan, MN 55121-1143
Mailing address
1471 Highview Ave
Eagan, MN 55121-1143
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305842 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| 04325 | MN | MD | Mental Health Counselor |
| 4325 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin Cities Recovery Gym & Wellness Center LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Behavioral Health Integration | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Northstar Regional | Past | Accepting new patients | |
| Northstar Regional | Past | Accepting new patients |
Locations
2912 N 2nd St
Minneapolis, MN 55411
Phone (612) 234-4242
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Addiction (Substance Use Disorder) Counselor
- Minneapolis, MN
- NPI 1487227161
-
- Addiction (Substance Use Disorder) Counselor
- Eagan, MN
- NPI 1699418210
-
- Clinical Medical Laboratory
- Shakopee, MN
- NPI 1508349234
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Chaska, MN
- NPI 1659764587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1114660966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1471 HIGHVIEW AVE",
"city": "EAGAN",
"state": "MN",
"postal_code": "551211143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1471 HIGHVIEW AVE",
"city": "EAGAN",
"state": "MN",
"postal_code": "551211143",
"telephone_number": "651-233-8379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINNIG",
"first_name": "JACOB",
"middle_name": "THOMAS",
"credential": "MA, LPCC, LADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-19",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "305842",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "04325",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "4325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagan, MN
- Minnesota Dental Professionals, P.C.
- Minnesota Independent Cooperative (Diabetic Care Inc.)
- Minnesota Mental Health Clinics
- Minnesota Mental Health Clinics
- Morgan Minnick
- Minuteclinic Diagnostic of Minnesota, P.a.
- Minuteclinic Diagnostic of Minnesota, P.a.
- Minuteclinic Diagnostic of Minnesota, P.a.
- Minuteclinic Primary Care Minnesota PLLC
- Rayan Mirza
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.