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

Individual provider Professional Counselor · NPI 1891027454

Jillian Marie Ellingson, LPCC is a Mental Health Counselor in Minneapolis, Minnesota. Qualified in 2004, 22 years ago. Practices with St Croix Psychiatric LLC, a 47-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
22
Licensed in
MN
In the registry since
2010
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

2649 Park Ave
Minneapolis, MN 55407-1006
Phone: (612) 676-1604
Fax: (612) 379-8235
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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 CC00097 (MN)

Record details

NPI number1891027454
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorNo
NPI enumeratedFebruary 8, 2010
Last updated in NPPESFebruary 8, 2010

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice St Croix Psychiatric Llc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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