Individual provider Active NPI

Jennifer Paige, LPCC, LADC

  • Professional Counselor
  • Minneapolis, MN
National Provider Identifier
1235628710
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC01584 Issued in MN
Practice address
310 E 38TH St Ste 322
Minneapolis, MN 55409-1300
Phone
(612) 824-0415
NPI assigned
May 9, 2018
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 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 CC01584 MN Primary

Addresses

Primary practice location

310 E 38TH St Ste 322
Minneapolis, MN 55409-1300

Mailing address

310 E 38TH St Ste 322
Minneapolis, MN 55409-1300
Phone (612) 824-0415

Other practice location 1

3612 Bloomington Ave
Minneapolis, MN 55407-2817
Phone (612) 462-3812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CC01584MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Beechwood, Inc. CurrentSince Dec 14, 2025 Accepting new patients
Anam Cara Therapies, PLLC PastSince Jan 26, 2026 Accepting new patients
Beechwood, Inc. Past Accepting new patients

Locations

310 E 38th St
Ste 322
Minneapolis, MN 55409
Phone (612) 421-2126

3901 Chicago Ave
Minneapolis, MN 55407
Phone (612) 462-3812

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1235628710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E 38TH ST STE 322",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091300",
            "telephone_number": "612-824-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E 38TH ST STE 322",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091300",
            "telephone_number": "612-824-0415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3612 Bloomington Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554072817",
            "country_code": "US",
            "telephone_number": "612-462-3812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAIGE",
        "first_name": "JENNIFER",
        "credential": "LPCC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC01584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.