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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1396419339

Jakayla Crowley is an Undefined Non-Physician Type (Specify) in Minnetonka, Minnesota. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 3 locations. Licensed in Minnesota.

Years since qualifying
1
Licensed in
MN
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

12500 Marion Ln W
Minnetonka, MN 55305
Phone: (763) 600-1453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 13603 80th Cir N, Maple Grove, MN 55369-8961 — (763) 274-3120
  • 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1810 — (952) 206-2040

Specialties & licences

Doula (primary) Taxonomy 374J00000X · Licence DOUL-246 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 306446 (MN)
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1396419339
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 3, 2021
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025
Mailing address12500 Marion Ln W Apt 4125, Minnetonka, MN 55305-1327

Medicare enrollment

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

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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