Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679574990 Individual Practitioner Female Practitioner

Jeanette Leone Mitchell , MEQ LP

Psychologist • Waconia, MN

Professional Overview & Biography Verified Profile Summary

Jeanette Mitchell, MEQ LP is a registered healthcare professional specializing in Psychologist in Waconia, MN. Practice services are available at 540 E 1ST ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

540 E 1st St

Waconia, MN 553871601

Telephone 9524424437
Fax 9524423084
Associated Practice Facility / Clinic
🏢 Carver County Facility NPI 1326049685

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Waconia, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
9 Specialists

Practicing in Waconia, MN (1833 Statewide)

Telehealth Adoption Rate
11.1% 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

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP2397

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ubh-Medica
6220576 (MN)
Commercial Insurance / Payer ID U-Care
109644 (MN)
Commercial Insurance / Payer ID Health Partners
HP19051 (MN)
Commercial Insurance / Payer ID Bluecrossblueshield
57428MI (MN)
Commercial Insurance / Payer ID Preferred One
1017126 (MN)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Tracy Davis , LMFT

Marriage & Family Therapist

NPI 1023531480

Licensed Marriage and Family Therapist

NPI 1083846885

PSYDLP

Chezni Rang

Social Worker - Clinical

NPI 1093317893
Amber Michels , MS, LPCC

Counselor - Mental Health

NPI 1154429975

Master of Science, Licensed Professional Clinical Counselor

Alene Chelman , LICSW

Social Worker - Clinical

NPI 1154635092

Licensed Independent Clinical Social Worker

Emily Kruger , LICSW

Social Worker - Clinical

NPI 1174036297

Licensed Independent Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 540 E 1ST ST, WACONIA, MN 553871601 (Tel: 9524424437)

📍
Updated Business Mailing Address July 08, 2007

Registered at 540 E 1ST ST, WACONIA, MN 553871601 (Tel: 9524424437)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JEANETTE MITCHELL, MEQ LP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #LP2397 in MN)

🟢
Initial NPI Registration & Enumeration August 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1679574990
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

540 E 1st St

Waconia, MN 553871601

Phone: 9524424437

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.