JENNA DOBERVICH
NPI 1225301179
Counselor - Professional in Fargo, ND

Active since February 22, 2012PECOS EnrolledAccepts Medicare Assignment
1201 25TH ST S, FARGO, ND 58103(701) 451-4900 Get Directions Write a Review

NPPES record last updated: February 22, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jenna Dobervich NPPES

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

JENNA DOBERVICH (NPI 1225301179) is an individual professional provider in Fargo, North Dakota, licensed in North Dakota (710-2-1-12A) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1225301179
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNA DOBERVICH
Location Address1201 25TH ST SFargo, ND 58103-2311
Mailing Address1201 25th St S, Po Box 9859Fargo, ND 58103-2311 · (701) 451-4900
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 22, 2012
NPI 1225301179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in ND · 710-2-1-12A
1201 25TH ST S, Fargo, ND 58103

Accepted 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

Jenna Dobervich 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 ID4284112137
PECOS Enrollment IDI20260202000535
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 20

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

Social Worker
1201 25TH ST S
FARGO, ND 58103
Counselor (Professional)
1201 25TH ST S
FARGO, ND 58103
Counselor (Professional)
1201 25TH ST S
FARGO, ND 58103
Marriage & Family Therapist
1201 25TH ST S
FARGO, ND 58103
Counselor (Professional)
1201 25TH ST S
FARGO, ND 58103
Counselor (Professional)
1201 25TH ST S
FARGO, ND 58103
Psychologist
1201 25TH ST S
FARGO, ND 58103
Counselor (Professional)
1201 25TH ST S
FARGO, ND 58103

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 Jenna Dobervich's NPI number?

The NPI number for Jenna Dobervich is 1225301179. It was assigned to this individual provider in the NPPES registry on February 22, 2012.

Where is Jenna Dobervich located?

Jenna Dobervich practices at 1201 25th St S, Fargo, ND 58103. The listed phone number is (701) 451-4900.

What is Jenna Dobervich's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jenna Dobervich enrolled in Medicare?

Yes. Jenna Dobervich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jenna Dobervich accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Jenna Dobervich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jenna Dobervich was last updated on February 22, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.