Jan Marie D'Ambrosio, MA, LMFT
NPI 1538625256ActiveIndividual· Counselor, Mental Health· Champlin, MN
Counselor, Mental Health (MA, LMFT) with Beacon Therapy Associates PC, practicing in Champlin, Minnesota. Enrolled in Medicare as practitioner - marriage and family therapist.
Overview
| NPI | 1538625256 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA, LMFT |
| Sole proprietor | Yes |
| NPI issued | Feb 18, 2019 |
| Last updated in NPPES | Aug 8, 2022 |
| Certified by provider | Aug 8, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Marriage & Family Therapist | 106H00000X | 3856 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Marriage and Family Therapist (MN) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Marriage And Family Therapist |
| Telehealth | Offers telehealth |
Medical group
- Beacon Therapy Associates PCChamplin, MN · 6 clinicians
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