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

Miss. Jill Marie Staloch, MA, LPCC

Individual provider Mental Health Counselor · NPI 1265677256

Miss. Jill Marie Staloch, MA, LPCC is a Mental Health Counselor in Jordan, Minnesota. Qualified in 2005, 21 years ago. Practices as a sole proprietor. Licensed in Iowa, Minnesota and Wisconsin.

Years since qualifying
21
Licensed in
IA, MN, WI
In the registry since
2008
Specialties on file
3
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

6245 W 214th St
Jordan, MN 55352-8646
Phone: (612) 743-4663
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 209 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 137856 (IA)
Professional Counselor Taxonomy 101YP2500X · Licence 12241-125 (WI)

Record details

NPI number1265677256
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPCC
Sole proprietorYes
NPI enumeratedDecember 5, 2008
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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