Active NPI
Jillian Wright, MPS, LPCC, LADC
- Mental Health Counselor
- Minneapolis, MN
National Provider Identifier
1730040288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4245
- Practice address
- 3112 Bryant Ave S Apt 2
Minneapolis, MN 55408-2833 - Phone
- (651) 308-2612
- NPI assigned
- Nov 22, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 304684 | MN | |
| Mental Health Counselor | 101YM0800X | 4245 | MN | Primary |
Addresses
Primary practice location
3112 Bryant Ave S Apt 2
Minneapolis, MN 55408-2833
Mailing address
1404 Gortner Ave Ste 170
Saint Paul, MN 55108-6160
Phone (612) 301-5361
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304684 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| 4245 | MN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1730040288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 GORTNER AVE STE 170",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551086160",
"telephone_number": "612-301-5361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3112 BRYANT AVE S APT 2",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554082833",
"telephone_number": "651-308-2612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "JILLIAN",
"credential": "MPS, LPCC, LADC",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-11-22",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "304684",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "4245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.