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

Individual provider Mental Health Counselor · NPI 1457658981

Stacia Jacobson-Gray, LPCC is a Mental Health Counselor in Minnetonka, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011
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

3395 Plymouth Rd
Minnetonka, MN 55305-3765
Phone: (952) 939-0396
Fax: (952) 548-8760
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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 CC01218 (MN)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1457658981
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorNo
NPI enumeratedFebruary 18, 2011
Last updated in NPPESMay 16, 2016

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