JORDAN PARIS LEUTHOLD MS, LPCC
NPI 1306404686
Counselor - Professional in Rogers, MN

NPI Status: Active since June 03, 2019

Contact Information

21395 JOHN MILLESS DR STE 400
ROGERS, MN
ZIP 55374
Phone: (763) 424-1888

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  • Individual
  • Male
  • Counselor
  • Professional
  • Accepts Insurance
  • PECOS Enrolled

About JORDAN LEUTHOLD

This page provides the complete NPI Profile along with additional information for Jordan Leuthold, a provider established in Rogers, Minnesota with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1306404686 assigned on June 2019. The practitioner's primary taxonomy code is 101YP2500X with license number CC02131 (MN). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1306404686
Provider Name
JORDAN PARIS LEUTHOLD MS, LPCC
Gender
Male
Entity Type
Individual
Location Address
21395 JOHN MILLESS DR STE 400 ROGERS, MN 55374
Location Phone
(763) 424-1888
Mailing Address
13477 73RD PL N MAPLE GROVE, MN 55311
Mailing Phone
(952) 484-6892
Is Sole Proprietor?
Yes
Enumeration Date
06-03-2019
Last Update Date
06-03-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
CC02131
License State
MN

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,000 Gold - PPO
  • Atlas $1,500 Standard Gold - PPO
  • Atlas $2,650 Plus Silver - PPO
  • Atlas $3,500 HSA Silver - PPO
  • Atlas $5,000 Standard Silver - PPO
  • Atlas $6,500 Plus Bronze - PPO
  • Atlas $7,500 Standard Bronze - PPO
  • Atlas $8,200 HSA Bronze - PPO
  • Atlas $9,200 Catastrophic - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jordan Leuthold is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for JORDAN PARIS LEUTHOLD MS, LPCC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1306404686
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2306808616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 0 + 6 + 8 + 0 + 8 + 6 + 1 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1306404686 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174122642 MICHELLE RHEA
Individual
Counselor (Professional)21395 JOHN MILLESS DR STE 400
ROGERS, MN 55374
(763) 424-1888
1225435050 RAVEN INDIGO WINTER MA, LPCC, CCTP
Individual
Counselor (Mental Health)21395 JOHN MILLESS DR STE 400
ROGERS, MN 55374
(763) 424-1888
1720329980MRS. RINDIE EAGLE MA, LPCC
Individual
Counselor (Mental Health)21395 JOHN MILLESS DR STE 400
ROGERS, MN 55374
(763) 424-1888

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306404686, enumerated in the NPI registry as an "individual" on June 03, 2019

The provider is located at 21395 John Milless Dr Ste 400 Rogers, Mn 55374 and the phone number is (763) 424-1888

The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional

The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on June 03, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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