Individual provider Active NPI

Jilleen Dauth, LPCC

  • Mental Health Counselor
  • Saint Paul, MN
National Provider Identifier
1992428106
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3448 Issued in MN
Practice address
317 York Ave
Saint Paul, MN 55130-4039
Phone
(651) 774-0011
Fax
(651) 774-0606
NPI assigned
Sep 22, 2022
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3448 MN Primary

Addresses

Primary practice location

317 York Ave
Saint Paul, MN 55130-4039

Mailing address

3000 Ames Crossing Rd Ste 600
Eagan, MN 55121-2570
Phone (651) 774-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250616001373 MN Practitioner - Mental Health Counselor 9739690959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
People IncorporatedGroup PAC ID 7012043540, 31 clinicians

Practice addresses (Care Compare)

2120 Park Ave
Minneapolis, MN 55404-3378
Phone (651) 774-0011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3448MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
People Incorporated CurrentSince Apr 10, 2025 Accepting new patients
People Incorporated CurrentSince Apr 10, 2025 Accepting new patients
RS Eden PastSince Aug 27, 2023 Accepting new patients

Locations

1930 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 427-7964

2120 Park Ave
Minneapolis, MN 55404
Phone (612) 872-2000

5555 Boone Ave N
New Hope, MN 55428
Phone (763) 331-3033

3000 Ames Crossing Rd
Ste 600
Saint Paul, MN 55121
Phone (651) 288-3467

317 York Ave
Saint Paul, MN 55130
Phone (651) 771-0286

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1992428106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 AMES CROSSING RD STE 600",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551212570",
            "telephone_number": "651-774-0011",
            "fax_number": "651-774-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 YORK AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551304039",
            "telephone_number": "651-774-0011",
            "fax_number": "651-774-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUTH",
        "first_name": "JILLEEN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "3448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.