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

Jan Marie D'Ambrosio, MA, LMFT

Individual provider Mental Health Counselor · NPI 1538625256

Jan Marie D'Ambrosio, MA, LMFT is a Marriage and Family Therapist in Champlin, Minnesota. Qualified in 2018, 8 years ago. Practices with Beacon Therapy Associates PC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2019
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

11141 Zealand Ave N
Champlin, MN 55316-3595
Phone: (763) 951-3091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 475 W. Eagle Lake Dr., Maple Grove, MN 55369-5528 — (612) 590-4437

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Marriage & Family Therapist Taxonomy 106H00000X · Licence 3856 (MN)

Record details

NPI number1538625256
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LMFT
Sole proprietorYes
NPI enumeratedFebruary 18, 2019
Last updated in NPPESAugust 8, 2022
Certification dateAugust 8, 2022

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Beacon Therapy Associates Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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