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

Individual provider Mental Health Counselor · NPI 1417405317

Jason Michael Walter, LPCC, LADC is a Mental Health Counselor in Lake Elmo, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2016
Specialties on file
2
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.

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Practice location Address checks out

8530 Eagle Point Blvd Ste 100
Lake Elmo, MN 55042-8648
Phone: (612) 562-6766
Fax: (612) 638-6601
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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 01898 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 304589 (MN)

Record details

NPI number1417405317
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC , LADC
Sole proprietorYes
NPI enumeratedSeptember 20, 2016
Last updated in NPPESNovember 30, 2018

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