Individual provider Active NPI

Jason Bartholomay, MA, LMFT, LADC

  • Marriage & Family Therapist
  • Lakeville, MN
National Provider Identifier
1376024307
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3491 Issued in MN
Practice address
20855 Kensington Blvd Ste B201
Lakeville, MN 55044-7542
Phone
(507) 291-2662
NPI assigned
Aug 28, 2018
Last updated
Jan 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 303671 MN
Marriage & Family Therapist 106H00000X 3491 MN Primary
Marriage & Family Therapist 106H00000X LF61557091 WA

Addresses

Primary practice location

20855 Kensington Blvd Ste B201
Lakeville, MN 55044-7542

Mailing address

20855 Kensington Blvd Ste B201
Lakeville, MN 55044-7542
Phone (507) 291-2662

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
I20260126001245 MN Practitioner - Marriage and Family Therapist 1355828922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19630 Estes Path
Farmington, MN 55024-7200

20855 Kensington Blvd
Lakeville, MN 55044-7486

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
303671MNMDAddiction (Substance Use Disorder) Counselor
LF61557091WAMDMarriage & Family Therapist
3491MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Sandsted Wellness LLC CurrentSince Jan 19, 2026 Accepting new patients

Locations

20855 Kensington Blvd
Ste B201
Lakeville, MN 55044
Phone (507) 291-2343

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": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1376024307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20855 KENSINGTON BLVD STE B201",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550447542",
            "telephone_number": "507-291-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20855 KENSINGTON BLVD STE B201",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550447542",
            "telephone_number": "507-291-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHOLOMAY",
        "first_name": "JASON",
        "credential": "MA, LMFT, LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-28",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303671",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3491",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF61557091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

Verify at the official NPI Registry.