Jordan Paris Leuthold, MS, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC02131 Issued in MN

Practice address

21395 John Milless Dr Ste 400
Rogers, MN 55374-4407

Phone

(763) 424-1888

NPI assigned

Jun 3, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwinds Counseling Services, P.a.Group PAC ID 0042745689, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Northwinds Counseling Services, P.a.

  • Marriage & Family Therapist
  • Rogers, MN
  • NPI 1760562540
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1306404686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13477 73RD PL N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112831",
            "telephone_number": "952-484-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21395 JOHN MILLESS DR STE 400",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744407",
            "telephone_number": "763-424-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUTHOLD",
        "first_name": "JORDAN",
        "middle_name": "PARIS",
        "credential": "MS, LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC02131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Prohofsky DDS PA
• Alaina Lee
• Paige Lehto, MS, LMFT
• Rachel Lynn Leifermann, RN, BSN
• Luann K Lerud, P.T.
• Kara Lynn Lewis, NP
• Stuart Lien, MD
• Life Made Easy Healthcare L.L.C
• Limitless Wellness and Aesthetics LLC
• Elizabeth Anne Lindberg, DPT

• Professional Counselor in Rogers, MN
• Providers in Rogers, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.

Verify at the official NPI Registry.