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Jenna Hassanein Raad

Behavior Analyst β€’ Bloomington, MN

Active NPI 1053995597 Individual Practitioner Female Practitioner
Practice location in NPPES

7901 Xerxes Ave S Ste 116
Bloomington, MN 554311200

Call 6122012468 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

7901 Xerxes Ave S Ste 116

Bloomington, MN 554311200

Telephone 6122012468
Organization at the Same NPPES Address or Phone
Bloomington Lake Clinic, Ltd Facility NPI 1215090501

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bloomington and Minnesota

67 active clinicians are listed under Behavior Analyst with a practice address in Bloomington, MN (1,393 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bloomington

0% of these 67 clinicians have the CMS telehealth indicator.

0% of these 67 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-27
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MN LBA0975

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
NPI 1649333980

Doctor of Medicine (M.D.)

NPI 1346304144

Doctor of Medicine (M.D.)

NPI 1972667772

Doctor of Medicine (M.D.)

Dr. Walter Hinck , MD

Family Medicine

NPI 1720011034

Doctor of Medicine (M.D.)

Dr. Mark Ostlund , MD

Internal Medicine

NPI 1396809182

Doctor of Medicine (M.D.)

Dr. Daniel Riley , MD

Family Medicine

NPI 1427011790

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 27, 2026

Registered at 7901 XERXES AVE S STE 116, BLOOMINGTON, MN 554311200 (Tel: 6122012468)

πŸ“
Updated Business Mailing Address July 27, 2026

Registered at 6881 CHANNEL RD NE, FRIDLEY, MN 554324619 (Tel: 6124349679)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2026

Behavior Analyst (license number reported to NPPES: MN LBA0975)

βœ…
NPI Profile Active May 11, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 11, 2021

Registered at 8051 33RD AVE S UNIT 201, BLOOMINGTON, MN 554255004 (Tel: 6124349679)

πŸ“
Business Mailing Address (Initial Record) May 11, 2021

Registered at 8051 33RD AVE S UNIT 201, BLOOMINGTON, MN 554255004 (Tel: 6124349679)

πŸ‘€
Provider Name / Credentials (Initial Record) May 11, 2021

Recorded as JENNA RAAD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2021

Behavior Technician

🟒
Initial NPI Registration & Enumeration May 11, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1053995597
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2021
Last Update: July 27, 2026
Sole Proprietor: No

Mailing Address

6881 Channel Rd Ne

Fridley, MN 554324619

Phone: 6124349679

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.