Mych-Jarrod Dallozzi, PSYD, NCC, LPCC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LP7396 Issued in MN

Practice address

4317 Upton Ave S Ste a
Minneapolis, MN 55410-1540

Phone

(724) 299-1247

Fax

(651) 377-4336

NPI assigned

Feb 28, 2019

Last updated

Sep 26, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Center for Psychological Growth and Resilience

  dba CPGR

  • Psychologist
  • Minneapolis, MN
  • NPI 1003576653
  NPD (past)

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790380800000",
    "number": "1558828251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4317 UPTON AVE S STE A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101540",
            "telephone_number": "724-299-1247",
            "fax_number": "651-377-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4317 UPTON AVE S STE A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101540",
            "telephone_number": "724-299-1247",
            "fax_number": "651-377-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLOZZI",
        "first_name": "MYCH-JARROD",
        "credential": "PSYD, NCC, LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-28",
        "last_updated": "2026-09-26",
        "certification_date": "2026-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "5190",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "200579837",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP7396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Dale, MD
• Cassie Daley
• Dawn Daley
• Jessie C.W. Daley, LICSW
• Melissa Reiland Dalhoe, LICSW
• Sara Elizabeth Dally
• Anna M Dalrymple, APRN, CNP
• Alexander David Dalsin
• Michaela Dalsin, PT
• Joline Christine Dalton, M.S.

• Counseling Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.