FindMyNPI
Minnesota Medicaid lookup

One provider matched this Medicaid ID.

Minnesota Medicaid ID CC01638 resolves to a single NPI record. Open the full profile for complete detail.

Single match found
When a Medicaid ID maps to more than one NPI, this page shows a chooser to pick the right provider instead.
JJ
NPI · 1427561455 · Active
Julie Jackson Lpcc
Mental Health Counselor · Mendota Heights, Minnesota
Active
NPI
1427561455
Medicaid (MN)
CC01638
Taxonomy
101YM0800X
State
Minnesota

Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • CC01638MN· Issued by INSURANCE PROVIDERS

Medicaid

Source: NPPES public registry.

ReferenceAbout state Medicaid identifiers

State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.