Jacqueline Kelly-Faddler, MS, LPCC
Professional Counselor · Princeton, MN
Jacqueline Kelly-Faddler, MS, LPCC is a professional counselor with a practice address in Princeton, Minnesota, and NPI 1881020527, issued on Sep 25, 2013. Check the license (Minnesota 842, as entered in NPPES) with the Minnesota board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jacqueline Kelly-Faddler
- Credential
- MS, LPCC
- Primary taxonomy
- Professional Counselor 101YP2500X
- License number
- 842 MN
Self-reported in NPPES; status is on the state search - Practice location
- 501 4TH St S Ste 201, Princeton, MN 55371
- Phone
- (763) 498-1822
- Enumerated
- Sep 25, 2013
- Record last updated
- May 2, 2022
- Medicaid ID
- 1881020527 MN
- Medicare enrollment
- Enrolled (PECOS I20240706000216); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest professional counselor records → All 2,407 in Minnesota → Look up another NPI →
Also registered at 501 4TH St S Ste 201
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Jacqueline Kelly-Faddler in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 842Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Jacqueline Kelly-Faddler among 2,407 professional counselor records in Minnesota
Jacqueline Kelly-Faddler, MS, LPCC is one of 2,407 professional counselor records with a practice address in Minnesota. 29% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2013, is newer than 16% of them.
- NPI issued2013 · 16% of these records are older, 81% newer
- In a Medicare fileNo · 29% of these records are
- In the CMS Doctors and Clinicians fileYes · 38% of these records are
- Graduated2012 · median 2016 among the 910 with a school on file
- Record last updated2022 · 37% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YP2500X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
3 professional counselor records list a practice address in Princeton
They are 3 of the 218 NPPES records with a practice address in Princeton, and 2,407 professional counselor records in Minnesota. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 2,407 in Minnesota → Every provider in Princeton → Professional Counselor nationwide →
The 8 professional counselor records with the nearest ZIP codes
- Lori Engblom, MA, LPCCPrinceton, MN 553711396022851
- Teri Struthers, M.A.,NCC, LPCCPrinceton, MN 553711063638765
- Kristen Jackson, MA, LPCCPrior Lake, MN 553721992385272
- Zachary Kahmeyer, M.A., LPCCPrior Lake, MN 553721770985954
- Taylor Stotz, MA, LPCC, R-DMTPrior Lake, MN 553721033800065
- Alexandra AuneMaple Grove, MN 553691740038025
- Robert Biglow, MA, LPCC, LADCMaple Grove, MN 553691538774526
- Ashley BrisbinMaple Grove, MN 553691710668710
Common questions
What is Jacqueline Kelly-Faddler, MS, LPCC's NPI number?
Jacqueline Kelly-Faddler, MS, LPCC's National Provider Identifier (NPI) is 1881020527, issued on Sep 25, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Jacqueline Kelly-Faddler, MS, LPCC located?
The NPPES record lists a practice address at 501 4TH St S Ste 201, Princeton, MN, 55371. Phone: (763) 498-1822. Providers update this record themselves, so call before visiting.
How can I verify Jacqueline Kelly-Faddler, MS, LPCC's license?
NPPES lists Minnesota license number 842, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.