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

Jedidiah Bolton James, LPCC

Individual provider Professional Counselor · NPI 1053882894

Jedidiah Bolton James, LPCC is a Mental Health Counselor in Edina, Minnesota. Qualified in 2003, 23 years ago. Licensed in Minnesota.

Years since qualifying
23
Licensed in
MN
In the registry since
2018
Specialties on file
2
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

7201 Metro Blvd Ste 550
Edina, MN 55439-1353
Phone: (651) 341-6529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CC01991 (MN)
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1053882894
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC
Sole proprietorNo
NPI enumeratedDecember 5, 2018
Last updated in NPPESMay 3, 2026
Certification dateMay 3, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Edina