What is Jeffrey Pedersen's NPI number?

Jeffrey Pedersen's National Provider Identifier (NPI) is 1750190492, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jeffrey Pedersen's specialty?

Jeffrey Pedersen is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).

Where is Jeffrey Pedersen located?

Jeffrey Pedersen's practice location on file with NPPES is 9896 57th St N, Lake Elmo, MN 55042-9588.

What is Jeffrey Pedersen's phone number?

The practice phone number listed in the NPPES registry for Jeffrey Pedersen is (651) 285-2865.

Is Jeffrey Pedersen's NPI active?

Yes — Jeffrey Pedersen's NPI (1750190492) is active in the NPPES registry as of the last update on 2025-01-07.

IndividualActive

Jeffrey Pedersen, LADC

NPI 1750190492 · Addiction (Substance Use Disorder) Counselor · Lake Elmo, MN

Jeffrey Pedersen, LADC is a Addiction (Substance Use Disorder) Counselor provider in Lake Elmo, MN (NPI 1750190492).

Provider details

NPI number: 1750190492
Entity type: Individual
Primary specialty: Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
Credential: LADC
Sex: Male
Sole proprietor: Yes
License: 305311 (MN)

Practice location

9896 57th St N

Lake Elmo, MN 55042-9588

Phone: (651) 285-2865

Street-level locationGet directions

More MN providers

Mailing address

9896 57th St N

Lake Elmo, MN 55042-9588

Specialties & taxonomies

Addiction (Substance Use Disorder) CounselorPrimary101YA0400XLicense 305311 (MN)
Behavioral Health & Social Service Providers

Profile Score

Established profile(56/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2025-01-07
Last updated: 2025-01-07
Certified: 2025-01-07

Frequently asked questions

What is Jeffrey Pedersen's NPI number?: Jeffrey Pedersen's National Provider Identifier (NPI) is 1750190492, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Jeffrey Pedersen's specialty?: Jeffrey Pedersen is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
Where is Jeffrey Pedersen located?: Jeffrey Pedersen's practice location on file with NPPES is 9896 57th St N, Lake Elmo, MN 55042-9588.
What is Jeffrey Pedersen's phone number?: The practice phone number listed in the NPPES registry for Jeffrey Pedersen is (651) 285-2865.
Is Jeffrey Pedersen's NPI active?: Yes — Jeffrey Pedersen's NPI (1750190492) is active in the NPPES registry as of the last update on 2025-01-07.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions