JESSICA CHAMBERLIN
NPI 1205514783
Marriage & Family Therapist in Lakeville, MN

Q: What is Jessica Chamberlin's NPI number?

The NPI number for Jessica Chamberlin is 1205514783. It was assigned to this individual provider in the NPPES registry on July 6, 2023.

Q: What is Jessica Chamberlin's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since July 06, 2023PECOS EnrolledAccepts Medicare Assignment

10535 165TH ST W, LAKEVILLE, MN 55044(952) 435-0022 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 26, 2023, Jul 6, 2023 (2 updates tracked since 2023).

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About Jessica Chamberlin NPPES

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

JESSICA CHAMBERLIN (NPI 1205514783) is an individual marriage & family therapist in Lakeville, Minnesota, licensed in Minnesota (4254) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1205514783

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJESSICA CHAMBERLIN

Location Address10535 165TH ST WLakeville, MN 55044-5729

Mailing Address10535 165th St WLakeville, MN 55044-5729

Phone(952) 435-0022

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 6, 2023

Last NPPES UpdateJuly 26, 20232 updates tracked since enumeration

NPPES CertifiedJuly 26, 2023

✔ NPI 1205514783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in MN · 4254

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

10535 165TH ST W, Lakeville, MN 55044

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Chamberlin is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668907585

PECOS Enrollment IDI20241202000067

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.

Other Providers at the Same Location NPPES 16

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

TRACY KOTVAL MA, L.P.C.C.

Counselor (Professional)