JAN MARIE D'AMBROSIO MA, LMFT
NPI 1538625256
Counselor - Mental Health in Champlin, MN

NPI Status: Active since February 18, 2019

Contact Information

11141 ZEALAND AVE N
CHAMPLIN, MN
ZIP 55316
Phone: (763) 951-3091

Get Directions Reviews

  • Individual
  • Female
  • Years of Experience 8
  • Counselor
  • Mental Health
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About JAN D'AMBROSIO

This page provides the complete NPI Profile along with additional information for Jan D'ambrosio, a provider established in Champlin, Minnesota with a medical specialization in Counselor, focusing in mental health and more than 8 years of experience. The healthcare provider is registered in the NPI registry with number 1538625256 assigned on February 2019. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1538625256
Provider Name
JAN MARIE D'AMBROSIO MA, LMFT
Other Name
JAN D'AMBROSIO HINTZE
Other Name Type
Other Name (5)
Gender
Female
Entity Type
Individual
Location Address
11141 ZEALAND AVE N CHAMPLIN, MN 55316
Location Phone
(763) 951-3091
Mailing Address
475 W EAGLE LAKE DR MAPLE GROVE, MN 55369
Mailing Phone
(612) 351-2283
Medical School Name
OTHER
Graduation Year
2018
Is Sole Proprietor?
Yes
Enumeration Date
02-18-2019
Last Update Date
08-08-2022
Code Navigator

A mental health counselor like Jan D'ambrosio provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Secondary Locations

  • 475 W. Eagle Lake Dr.
    Maple Grove, MN 55369
    (612) 590-4437

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 Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

3856 (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

Jan D'ambrosio is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Jan D'ambrosio 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

  • PECOS PAC ID: 5092160507

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250602000151

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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 JAN MARIE D'AMBROSIO MA, LMFT

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1538625256
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
256812210210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 1 + 2 + 2 + 1 + 0 + 2 + 1 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1538625256 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 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972871168 CHRISTINA A EVENSEN LPC, NCC
Individual
Counselor (Professional)11141 ZEALAND AVE N
CHAMPLIN, MN 55316
(763) 951-3091
1861889172 SUSAN RIEKELS LPC
Individual
Counselor (Mental Health)11141 ZEALAND AVE N
CHAMPLIN, MN 55316
(763) 516-4681
1992184006 MATTHEW DARNOLD
Individual
Counselor (Mental Health)11141 ZEALAND AVE N
CHAMPLIN, MN 55316
(763) 951-3091
1992205934 NATHAN KLEIN LSW
Individual
Social Worker11141 ZEALAND AVE N
CHAMPLIN, MN 55316
(763) 951-3091
1134166275MRS. SHELLY MARIE DAVENPORT MS, LMFT
Individual
Marriage & Family Therapist11141 ZEALAND AVE N
CHAMPLIN, MN 55316
(763) 951-3091
1407084031BEACON THERAPY ASSOCIATES, PC
Organization
Marriage & Family Therapist11141 ZEALAND AVE N
CHAMPLIN, MN 55316
(763) 951-3091
1730395252 GARY R SANDBERG M.A.
Individual
Marriage & Family Therapist11141 ZEALAND AVE N
CHAMPLIN, MN 55316
(763) 291-7065
1538570726 LOREN BERGSTEDT LPC, LADC
Individual
Counselor (Professional)11141 ZEALAND AVE N
CHAMPLIN, MN 55316
(651) 769-7607
1477693851MR. CHRISTOPHER DAVID EMERY MSW, LICSW
Individual
Social Worker (Clinical)11141 ZEALAND AVE N
CHAMPLIN, MN 55316
(763) 442-8101
1124608468MRS. SHANNON LEE ROYER COUNSELOR
Individual
Counselor (Mental Health)11141 ZEALAND AVE N
CHAMPLIN, MN 55316
(763) 670-6050
1295302966 DARLENE SHERICE RILEY
Individual
Social Worker11141 ZEALAND AVE N
CHAMPLIN, MN 55316
(763) 951-3091
1720703606 MICHELLE LEE ROGERS MSW, LGSW
Individual
Social Worker11141 ZEALAND AVE N
CHAMPLIN, MN 55316
(763) 951-3091
1679815997 AMY BIANCHI-ROSSI LPCC
Individual
Counselor (Mental Health)11141 ZEALAND AVE N
CHAMPLIN, MN 55316
(763) 670-6050

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538625256, enumerated in the NPI registry as an "individual" on February 18, 2019

The provider is located at 11141 Zealand Ave N Champlin, Mn 55316 and the phone number is (763) 951-3091

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

The provider has more than 8 years of experience.

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 February 18, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.