Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jackie Engebretson, PHD, LP

Individual provider Clinical Child & Adolescent Psychologist · NPI 1134598667

Dr. Jackie Engebretson, PHD, LP is a Clinical Psychologist in Bloomington, Minnesota. Qualified in 2014, 12 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2015
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

7920 Old Cedar Ave S
Bloomington, MN 55425-1207
Phone: (952) 428-1800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 — (952) 993-1000

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP5917 (MN)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence LP5917 (MN)

Record details

NPI number1134598667
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LP
Sole proprietorYes
NPI enumeratedSeptember 15, 2015
Last updated in NPPESAugust 12, 2022
Certification dateAugust 12, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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