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MS. JESSICA MARIE COLEMAN
NPI 1003118787
Social Worker - Clinical in St Louis Park, MN

Active since December 01, 2010PECOS Enrolled
1650 W END BLVD STE 100, ST LOUIS PARK, MN 55416(763) 331-2161 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Jessica Marie Coleman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JESSICA MARIE COLEMAN (NPI 1003118787) is an individual clinical provider in St Louis Park, Minnesota, licensed in Minnesota (26174) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1003118787
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JESSICA MARIE COLEMAN
Location Address1650 W END BLVD STE 100St Louis Park, MN 55416-5369
Mailing Address1650 W End Blvd Ste 100St Louis Park, MN 55416-5369 · (763) 331-2161
Phone(763) 331-2161
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 1, 2010
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
✔ NPI 1003118787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 26174
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedDoulaTaxonomy 374J00000X
1650 W END BLVD STE 100, St Louis Park, MN 55416
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jessica Marie Coleman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335639111
PECOS Enrollment IDI20251110001736
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Coleman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Awaken Recovery Counseling Center LLC
Same address
Mental Health
1650 W END BLVD STE 100
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • 2 clinicians in this Medicare group
NPI 1629952882 (763) 331-2161

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMUNITY AUTISM THERAPY CENTER LLC
Early Intervention Provider Agency
1650 W END BLVD STE 100
MINNEAPOLIS, MN 55416
Hennepin County (952) 994-0909
POLARIS AUTISM CENTER
Community/Behavioral Health
1650 W END BLVD STE 100
ST LOUIS PARK, MN 55416
Hennepin County (952) 228-1299
ELM CREEK HEALTHCARE INC
Home Health
1650 W END BLVD STE 100
ST LOUIS PARK, MN 55416
Hennepin County (612) 305-8260
PROVENANCE HOMES
In Home Supportive Care
1650 W END BLVD STE 100
ST LOUIS PARK, MN 55416
Hennepin County (612) 261-6988
BERNADETTE T WARNERT CNP
Nurse Practitioner (Family)
1650 W END BLVD STE 100
ST LOUIS PARK, MN 55416
Hennepin County (574) 546-1900
THRIVE BEHAVIORAL HEALTH SERVICES
Nurse Practitioner (Psychiatric/Mental Health)
1650 W END BLVD STE 100
ST LOUIS PARK, MN 55416
Hennepin County (612) 477-5139
JORDAN ELIZABETH THOMAS LICSW
Social Worker (Clinical)
1650 W END BLVD STE 100
ST LOUIS PARK, MN 55416
Hennepin County (763) 331-2161
KANIA MAE JOHNSON
Social Worker
1650 W END BLVD STE 100
ST LOUIS PARK, MN 55416
Hennepin County (763) 331-2161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Coleman's NPI number?

The NPI number for Jessica Coleman is 1003118787. It was assigned to this individual provider in the NPPES registry on December 1, 2010.

Where is Jessica Coleman located?

Jessica Coleman practices at 1650 W End Blvd Ste 100, St Louis Park, MN 55416. The listed phone number is (763) 331-2161.

What is Jessica Coleman's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jessica Coleman enrolled in Medicare?

Yes. Jessica Coleman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Coleman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Coleman reassigns Medicare benefits to Awaken Recovery Counseling Center LLC (St Louis Park, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Coleman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Coleman was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.