Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jillian Jae Ristau, MS, LPCC

Individual provider Professional Counselor · NPI 1437522984

Jillian Jae Ristau, MS, LPCC is a Mental Health Counselor in Grand Rapids, Minnesota. Qualified in 2015, 11 years ago. Practices with Northland Counseling Center Inc, a 25-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2015
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

215 SE 2nd Ave
Grand Rapids, MN 55744-3615
Phone: (218) 326-1274
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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 2984 (MN)
Professional Counselor Taxonomy 101YP2500X · Licence 01757 (MN)

Record details

NPI number1437522984
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LPCC
Sole proprietorNo
NPI enumeratedNovember 5, 2015
Last updated in NPPESSeptember 2, 2021
Certification dateSeptember 2, 2021

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Northland Counseling Center Inc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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