Individual provider Active NPI

Jade Miles

  • Mental Health Counselor
  • Rochester, MN
National Provider Identifier
1467052555
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3265 19TH St NW Ste 125
Rochester, MN 55901-6786
Phone
(507) 722-4616
NPI assigned
Oct 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3265 19TH St NW Ste 125
Rochester, MN 55901-6786

Mailing address

3265 19TH St NW Ste 125
Rochester, MN 55901-6786
Phone (651) 493-2055

Other practice location 1

7046 Jenner Cir S
Cottage Grove, MN 55016-1300
Phone (612) 200-2669

Other practice location 2

2864 Middle St Ste 100
Little Canada, MN 55117-1411
Phone (651) 493-2055

Other practice location 3

6625 Lyndale Ave S Ste 440
Richfield, MN 55423-2380
Phone (612) 712-7200

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
I20240229002031 MN Practitioner - Mental Health Counselor 9234544875 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fernbrook Family Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
Peak Behavioral Health, LLC Mental Health PastSince May 1, 2025 Accepting new patients
Fernbrook Family Center Past Accepting new patients
3C Hansons Mental Health PastSince Jul 17, 2021 Accepting new patients

Locations

2575 Harvest Ln
Owatonna, MN 55060
Phone 5074460431115

2519 Commerce Dr NW
Ste 210
Rochester, MN 55901
Phone (507) 216-8350

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1467052555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3265 19TH ST NW STE 125",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016786",
            "telephone_number": "651-493-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 19TH ST NW STE 125",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016786",
            "telephone_number": "507-722-4616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7046 Jenner Cir S",
            "address_purpose": "LOCATION",
            "city": "Cottage Grove",
            "state": "MN",
            "postal_code": "550161300",
            "country_code": "US",
            "telephone_number": "612-200-2669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2864 Middle St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Little Canada",
            "state": "MN",
            "postal_code": "551171411",
            "country_code": "US",
            "telephone_number": "651-493-2055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6625 Lyndale Ave S Ste 440",
            "address_purpose": "LOCATION",
            "city": "Richfield",
            "state": "MN",
            "postal_code": "554232380",
            "country_code": "US",
            "telephone_number": "612-712-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.