Robert Jaspers, ADC-1

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Cass Lake, MN

NPI 1669347696 · NPPES record last updated Oct 8, 2025

Key facts

NPI
1669347696
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
6905 161St St. NW
Cass Lake, MN 56633
Phone
(218) 335-8308
NPI assigned
Oct 8, 2025
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Leech Lake Outpatient Treatment Program Addiction (Substance Use Disorder) Past
since Oct 12, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MN Yes

Addresses

Primary practice location

6905 161St St. NW
Cass Lake, MN 56633

Mailing address

PO Box 1411
Cass Lake, MN 56633-1411

Other providers in Cass Lake, MN

All providers in Cass Lake, MN · Addiction (Substance Use Disorder) Counselor in Minnesota

Sources for this page

Verify at the official NPI Registry.