Individual provider Active NPI

Jessee Ann Daley, MA, LPCC

  • Professional Counselor
  • Edina, MN
National Provider Identifier
1245713825
Registry record updated Jul 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
6109 Kellogg Ave
Edina, MN 55424-1802
Phone
(952) 454-6461
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2023

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 Primary

Addresses

Primary practice location

6109 Kellogg Ave
Edina, MN 55424-1802

Mailing address

6109 Kellogg Ave
Edina, MN 55424-1802
Phone (952) 454-6461

Other practice location 1

7260 University Ave NE Ste 235
Fridley, MN 55432-3141
Phone (763) 572-2605

Other practice location 2

1684 Selby Ave
Saint Paul, MN 55104-6149
Phone (952) 454-6461

Other names 1

  • Jessee Ann Daley Alton Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1932MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Health, LLC CurrentSince Jan 7, 2024 Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince Oct 30, 2024 Accepting new patients
Aria Counseling Assessment and Mediation Centers PLLC PastSince Jan 1, 2014 Accepting new patients
Affiliated Counseling Center Professional PastSince Oct 19, 2009 Accepting new patients
Optimal Brain MN, PLLC PastSince Jul 21, 2024 Accepting new patients

Locations

8120 Penn Ave S
Ste 400
Minneapolis, MN 55431
Phone (800) 336-5973

2780 Snelling Ave N
Ste 102
Roseville, MN 55113

992 Inwood Ave N
Saint Paul, MN 55128
Phone (612) 842-9814

Organizations & group practices 5

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": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690070400000",
    "number": "1245713825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6109 KELLOGG AVE",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241802",
            "telephone_number": "952-454-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6109 KELLOGG AVE",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241802",
            "telephone_number": "952-454-6461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7260 University Ave NE Ste 235",
            "address_purpose": "LOCATION",
            "city": "Fridley",
            "state": "MN",
            "postal_code": "554323141",
            "country_code": "US",
            "telephone_number": "763-572-2605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1684 Selby Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551046149",
            "country_code": "US",
            "telephone_number": "952-454-6461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALEY",
        "first_name": "JESSEE",
        "middle_name": "ANN",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2023-07-23",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSEE",
            "last_name": "ALTON",
            "middle_name": "ANN DALEY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.