Individual provider Active NPI

Jacqueline Bleess, MS, MA, LPCC, LADC

  • Counselor
  • Cambridge, MN
National Provider Identifier
1285058164
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
00727 Issued in MN
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250910000689 MN Practitioner - Mental Health Counselor 6002319886 Reassigns benefits to 1 organization

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
Therapeutic Services Agency IncGroup PAC ID 4981877891, 14 clinicians

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

LicenseStateTypeSpecialty
00727MNMDCounselor
302937MNMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Services Agency Inc Counselor CurrentSince Aug 25, 2025 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

Verify at the official NPI Registry.