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

Jacqueline Ruth Smalley, LPCC, LADC

Individual provider Mental Health Counselor · NPI 1124632468

Jacqueline Ruth Smalley, LPCC, LADC is a Mental Health Counselor in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2020.

Licensed in
MN
In the registry since
2020
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

1800 Chicago Ave Ste 200
Minneapolis, MN 55404-2592
Phone: (612) 695-4885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CC02558 (MN)

Record details

NPI number1124632468
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC , LADC
Sole proprietorNo
NPI enumeratedSeptember 3, 2020
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024

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