Active NPI
Jayde Wolf
- Mental Health Counselor
- Saint Louis Park, MN
National Provider Identifier
1619818366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 4500 Park Glen Rd Ste 155
Saint Louis Park, MN 55416-4888 - Phone
- (612) 284-4291
- NPI assigned
- Apr 4, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MN | Primary |
Addresses
Primary practice location
4500 Park Glen Rd Ste 155
Saint Louis Park, MN 55416-4888
Mailing address
2285 University Ave W Unit 313B
Saint Paul, MN 55114-1650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1619818366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2285 UNIVERSITY AVE W UNIT 313B",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 PARK GLEN RD STE 155",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "554164888",
"telephone_number": "612-284-4291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "JAYDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-04",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.