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Active NPI 1881364008 Individual Practitioner Male Practitioner

John Ambrose , LPCC

Counselor - Professional • Coon Rapids, MN

Professional Overview & Biography Verified Profile Summary

John Ambrose, LPCC is a registered healthcare professional specializing in Counselor - Professional in Coon Rapids, MN. Practice services are available at 11660 ROUND LAKE BLVD NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11660 Round Lake Blvd Nw

Coon Rapids, MN 554332638

Telephone 7637673350
Fax 7637670912
Associated Practice Facility / Clinic
🏢 Nystrom & Associates, Ltd Facility NPI 1396750188

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Coon Rapids, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.8 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
31 Specialists

Practicing in Coon Rapids, MN (2422 Statewide)

Telehealth Adoption Rate
19.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-16
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MN 3440

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License MN 3440

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Ruth Eilts

Social Worker - Clinical

NPI 1003628405
Abigail Fletcher

Counselor - Professional

NPI 1043670581
Melanie Carlson-Kappes , MA, LMFT

Marriage & Family Therapist

NPI 1043802432

Master of Arts, Licensed Marriage and Family Therapist

Charles Lochner , MA

Counselor - Professional

NPI 1073199980

Master of Arts

Laurie Lorentz

Counselor - Mental Health

NPI 1073965331
Kristal Ficzeri , MA

Counselor - Mental Health

NPI 1083108138

Master of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address January 09, 2025

Registered at 1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 551121789 (Tel: 6516289566)

👤
Provider Name / Credentials Updated January 09, 2025

Recorded as JOHN AMBROSE, LPCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2025

Counselor (License #3440 in MN)

NPI Profile Active September 18, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2021

Registered at 11660 ROUND LAKE BLVD NW, COON RAPIDS, MN 554332638 (Tel: 6125626790)

📍
Updated Business Mailing Address September 18, 2021

Registered at 11660 ROUND LAKE BLVD NW, COON RAPIDS, MN 554332638 (Tel: 6125626790)

👤
Provider Name / Credentials Updated September 18, 2021

Recorded as JOHN AMBROSE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2021

Counselor (License #304566 in MN)

🟢
Initial NPI Registration & Enumeration September 18, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881364008
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 18, 2021
Last Update: January 16, 2025
Sole Proprietor: No

Mailing Address

1900 Silver Lake Rd Nw Ste 110

New Brighton, MN 551121789

Phone: 6516289566

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.