Jade Nicole Ahlstrand – Professional Counselor

Key facts

NPI: 1346907771
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
License: 4098 (MN)
Practice address: 2855 Campus Dr Ste 660
Plymouth, MN 55441-2665
Phone: (763) 577-7900
Fax: (763) 577-7905
NPI assigned: Nov 19, 2021
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Allina Health System Obstetrics & Gynecology Physician · Buffalo, MN · NPI 1295272342

Medicare reassignment NPD MN
Allina Health System Hospice and Palliative Medicine (Internal Medicine) Physician · Minneapolis, MN · NPI 1598230138

NPD
Allina Health System Rheumatology Physician · Coon Rapids, MN · NPI 1952146516

NPD

Medicare Care Compare profile

Specialty: Mental Health Counselor
Education: Other, 2020
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Allina Health System (3,844 clinicians)

Practice addresses (Care Compare)

2855 Campus Dr
Suite 660
Plymouth, MN 55441-2665
Phone (763) 577-7900

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MN
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20240104001680	MN	Practitioner - Mental Health Counselor	7810348893	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Master of Science

State licenses

License	State	Type	Specialty
4098	MN	MD	Psychologist

Practice roles

Organization	Status	New patients
Allina Health System	Current	Accepting new patients
Allina Health System	Current since Jan 1, 2024	Accepting new patients
Allina Health System	Current since Jan 1, 2024	Accepting new patients

Locations

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

2855 Campus Dr
Ste 660
Plymouth, MN 55441
Phone (763) 577-7900

Interoperability endpoints

Direct secure messaging: jahlstrand640917@excellian.direct.allina.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Professional Counselor	101YP2500X	4098	MN	Yes

Addresses

Primary practice location

2855 Campus Dr Ste 660
Plymouth, MN 55441-2665

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000

Other practice location 1

3012 W 44th St
Minneapolis, MN 55410-1553
Phone (651) 645-5323 ext. 2439

Other providers in Plymouth, MN

All providers in Plymouth, MN · Professional Counselor in Minnesota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.