Active NPI
Jessica Grad
- Counselor
- Minneapolis, MN
National Provider Identifier
1790636272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 5410
- Practice address
- 708 N 1St St Ste 234
Minneapolis, MN 55401-1145 - Phone
- (612) 741-6863
- NPI assigned
- Feb 9, 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 5410 | MN | Primary |
Addresses
Primary practice location
708 N 1St St Ste 234
Minneapolis, MN 55401-1145
Mailing address
708 N 1St St Ste 234
Minneapolis, MN 55401-1145
Phone (612) 741-6863
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 |
|---|---|---|---|
| 5410 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1790636272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 N 1ST ST STE 234",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554011145",
"telephone_number": "612-741-6863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 N 1ST ST STE 234",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554011145",
"telephone_number": "612-741-6863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAD",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-09",
"last_updated": "2026-02-09",
"certification_date": "2026-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MN",
"license": "5410",
"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 Feb 9, 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.