Active NPI
Jacqueline Bleess, MS, MA, LPCC, LADC
- Counselor
- Cambridge, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 00727
- Practice address
- 200 3Rd Ave NE Ste 100
Cambridge, MN 55008-1298 - Phone
- (320) 629-7600
- NPI assigned
- Feb 12, 2014
- Last updated
- Jul 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 00727 | MN | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 302937 | MN | |
| Mental Health Counselor | 101YM0800X | 00727 | MN | |
| Professional Counselor | 101YP2500X | 00727 | MN |
Addresses
Primary practice location
200 3Rd Ave NE Ste 100
Cambridge, MN 55008-1298
Mailing address
33945 University Ave NE
Cambridge, MN 55008-7722
Other practice location 1
705 Hillside Ave SW
Pine City, MN 55063-1466
Phone (320) 629-7600
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
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 3Rd Ave NE
Suite 100
Cambridge, MN 55008-1298
Phone (320) 629-7600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00727 | MN | MD | Counselor |
| 302937 | MN | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Services Agency Inc | Counselor | Current | Accepting new patients |
Locations
200 3rd Ave NE
Ste 100
Cambridge, MN 55008
Phone (651) 213-2569
220 Railroad St SE
Pine City, MN 55063
705 Hillside Ave SW
Pine City, MN 55063
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, 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": "1392163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1285058164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33945 UNIVERSITY AVE NE",
"city": "CAMBRIDGE",
"state": "MN",
"postal_code": "550087722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 3RD AVE NE STE 100",
"city": "CAMBRIDGE",
"state": "MN",
"postal_code": "550081298",
"telephone_number": "320-629-7600"
}
],
"practiceLocations": [
{
"address_1": "705 Hillside Ave SW",
"address_purpose": "LOCATION",
"city": "Pine City",
"state": "MN",
"postal_code": "550631466",
"country_code": "US",
"telephone_number": "320-629-7600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLEESS",
"first_name": "JACQUELINE",
"credential": "MS, MA, LPCC, LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-12",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MN",
"license": "00727",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "302937",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "00727",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "00727",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.