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

Jill Salo, MS, LADC, LPCC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1619650744

Jill Salo, MS, LADC, LPCC is a Mental Health Counselor in Minnetonka, Minnesota. Qualified in 2020, 6 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2023
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

12400 Whitewater Dr Ste 140
Minnetonka, MN 55343-4168
Phone: (952) 479-0640
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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 3974 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 305949 (MN)

Record details

NPI number1619650744
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LADC , LPCC
Sole proprietorNo
NPI enumeratedAugust 7, 2023
Last updated in NPPESAugust 7, 2023
Certification dateAugust 7, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Minnetonka