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

Jaime Ascencio, LP

Individual provider Psychologist · NPI 1972084226

Jaime Ascencio, LP is a Clinical Psychologist in Mendota Heights, Minnesota. Qualified in 2020, 6 years ago. Practices with Optum Behavioral Care of Colorado PC, a 197-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2018

Practice location Address checks out

1155 Northland Dr
Mendota Heights, MN 55120-1288
Phone: (612) 223-8898
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP6796 (MN)

Record details

NPI number1972084226
Entity typeIndividual (Type 1)
GenderFemale
Credentials LP
Sole proprietorNo
NPI enumeratedAugust 24, 2018
Last updated in NPPESMay 20, 2022
Certification dateMay 20, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Optum Behavioral Care Of Colorado Pc — 197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mendota Heights