Active NPI
Jonathan Dale Strong, MA, LPCC
- Professional Counselor
- Edina, MN
National Provider Identifier
1144067992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC04484
- Practice address
- 6600 France Ave S Ste 230
Edina, MN 55435-1810 - Phone
- (952) 460-0946
- Fax
- (651) 383-4935
- NPI assigned
- Jul 10, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC04484 | MN | Primary |
Addresses
Primary practice location
6600 France Ave S Ste 230
Edina, MN 55435-1810
Mailing address
7954 Charles Way
Inver Grove Heights, MN 55076-3015
Phone (651) 208-0984
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240731002713 | MN | Practitioner - Mental Health Counselor | 1456898022 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Mental Health Systems, PC
Practice addresses (Care Compare)
6600 France S Ave
Suite 230
Edina, MN 55435-1810
Phone (952) 835-2002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC04484 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Systems PC | Current | Accepting new patients |
Locations
6600 France Ave S
Ste 230
Minneapolis, MN 55435
Phone (952) 460-9007
Organizations & group practices 1
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": "1720569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1144067992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7954 CHARLES WAY",
"city": "INVER GROVE HEIGHTS",
"state": "MN",
"postal_code": "550763015",
"telephone_number": "651-208-0984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 FRANCE AVE S STE 230",
"city": "EDINA",
"state": "MN",
"postal_code": "554351810",
"telephone_number": "952-460-0946",
"fax_number": "651-383-4935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRONG",
"first_name": "JONATHAN",
"middle_name": "DALE",
"credential": "MA, LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-10",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC04484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.