JOHN AMBROSE LPCC
NPI 1881364008
Counselor - Professional in Coon Rapids, MN
NPI Status: Active since September 18, 2021
Contact Information
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN
ZIP 55433
Phone: (763) 767-3350
Fax: (763) 767-0912
- Individual
- Male
- Counselor
- Professional
- Accepts Insurance
- PECOS Enrolled
About JOHN AMBROSE
This page provides the complete NPI Profile along with additional information for John Ambrose, a provider established in Coon Rapids, Minnesota with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1881364008 assigned on September 2021. The practitioner's primary taxonomy code is 101YP2500X with license number 3440 (MN). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1881364008
- Provider Name
- JOHN AMBROSE LPCC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 11660 ROUND LAKE BLVD NW COON RAPIDS, MN 55433
- Location Phone
- (763) 767-3350
- Location Fax
- (763) 767-0912
- Mailing Address
- 1900 SILVER LAKE RD NW STE 110 NEW BRIGHTON, MN 55112
- Mailing Phone
- (651) 628-9566
- Mailing Fax
- (763) 767-0912
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-18-2021
- Last Update Date
- 01-16-2025
- Code Navigator
Location Map
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.
- 3440
- License State
- MN
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) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | 3440 (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
John Ambrose 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 JOHN AMBROSE 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. | |||||||||
| 1 | 8 | 8 | 1 | 3 | 6 | 4 | 0 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 16 | 1 | 6 | 6 | 8 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 6 + 1 + 6 + 6 + 8 + 0 + 0 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1881364008 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1649406075 | MS. DIANA KAY RAMONE Individual | Social Worker (Clinical) | 11660 ROUND LAKE BLVD NW COON RAPIDS, MN 55433 (763) 767-3350 |
| 1093777591 | CATHERINE JANE LUITJENS LP Individual | Psychologist | 11660 ROUND LAKE BLVD NW COON RAPIDS, MN 55433 (763) 767-3350 |
| 1457833204 | JACLYN RACHELLE RICE Individual | Counselor (Addiction (Substance Use Disorder)) | 11660 ROUND LAKE BLVD NW COON RAPIDS, MN 55433 (763) 767-3350 |
| 1861045965 | MADI MIXDORF MSW Individual | Social Worker (Clinical) | 11660 ROUND LAKE BLVD NW COON RAPIDS, MN 55433 (763) 767-3350 |
| 1215581053 | STEVEN THOMAS MAURER PH.D. Individual | Psychologist (Counseling) | 11660 ROUND LAKE BLVD NW COON RAPIDS, MN 55433 (763) 767-3550 |
| 1497171128 | SHANNON LOWELL LMFT Individual | Counselor (Mental Health) | 11660 ROUND LAKE BLVD NW COON RAPIDS, MN 55433 (763) 767-3350 |
| 1144869801 | ANDREA WORKMAN Individual | Counselor (Mental Health) | 11660 ROUND LAKE BLVD NW COON RAPIDS, MN 55433 (763) 767-3350 |
| 1265071740 | BURT JEFFERY EDWARDS Individual | Counselor (Mental Health) | 11660 ROUND LAKE BLVD NW COON RAPIDS, MN 55433 (763) 714-3350 |
| 1205346459 | LYNSEY BARGER PA-C Individual | Physician Assistant | 11660 ROUND LAKE BLVD NW COON RAPIDS, MN 55433 (763) 274-3120 |
| 1730562919 | JULIE IVERSON Individual | Counselor | 11660 ROUND LAKE BLVD NW COON RAPIDS, MN 55433 (763) 767-3350 |
| 1609498666 | SHELBY EDEVOLD Individual | Counselor (Addiction (Substance Use Disorder)) | 11660 ROUND LAKE BLVD NW COON RAPIDS, MN 55433 (763) 767-3350 |
| 1932717022 | KYLE ERICH DUFEK Individual | Counselor (Mental Health) | 11660 ROUND LAKE BLVD NW COON RAPIDS, MN 55433 (763) 767-3350 |
| 1528656303 | WHITNEY NAGEL Individual | Counselor (Mental Health) | 11660 ROUND LAKE BLVD NW COON RAPIDS, MN 55433 (763) 767-3350 |
| 1568011773 | MS. ASHLEY BURKE LADC Individual | Counselor (Addiction (Substance Use Disorder)) | 11660 ROUND LAKE BLVD NW COON RAPIDS, MN 55433 (763) 767-3350 |
| 1770257214 | ALEXA-JANE HOIDAHL Individual | Counselor (Mental Health) | 11660 ROUND LAKE BLVD NW COON RAPIDS, MN 55433 (763) 767-3350 |
| 1093484826 | CALSI GILBERTSON Individual | Counselor (Addiction (Substance Use Disorder)) | 11660 ROUND LAKE BLVD NW COON RAPIDS, MN 55433 (763) 767-3350 |
| 1457906620 | MS. ANGELA KAY POTTS BA, LADC Individual | Counselor (Addiction (Substance Use Disorder)) | 11660 ROUND LAKE BLVD NW COON RAPIDS, MN 55433 (637) 767-3350 |
| 1265189724 | DEVON BROOME Individual | Marriage & Family Therapist | 11660 ROUND LAKE BLVD NW COON RAPIDS, MN 55433 (763) 767-3350 |
| 1528715513 | CARA MARIE CHAPDELAINE LMFT Individual | Marriage & Family Therapist | 11660 ROUND LAKE BLVD NW COON RAPIDS, MN 55433 (763) 767-3350 |
| 1114641537 | AUGUSTUS KJOLHAUG MA Individual | Counselor (Professional) | 11660 ROUND LAKE BLVD NW COON RAPIDS, MN 55433 (763) 767-3350 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881364008, enumerated in the NPI registry as an "individual" on September 18, 2021
The provider is located at 11660 Round Lake Blvd Nw Coon Rapids, Mn 55433 and the phone number is (763) 767-3350
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 September 18, 2021. 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.