JESSICA ROSE BODINE LAC
NPI 1235795485
Counselor - Addiction (Substance Use Disorder) in Jamestown, ND

Active since May 14, 2019PECOS Enrolled
520 3RD ST NW, JAMESTOWN, ND 58401(701) 253-6300(701) 253-6400 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 9, 2025, Sep 4, 2025, Dec 3, 2019 and 2 more (5 updates tracked since 2019).

About Jessica Rose Bodine Lac NPPES

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

JESSICA ROSE BODINE LAC (NPI 1235795485) is an individual addiction (substance use disorder) provider in Jamestown, North Dakota, licensed in North Dakota (1853) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235795485
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJESSICA ROSE BODINECredential: LAC
Location Address520 3RD ST NWJamestown, ND 58401-2968
Mailing Address520 3rd St NwJamestown, ND 58401-2968 · (701) 253-6300 · Fax (701) 253-6400
Fax(701) 253-6400
Sole ProprietorNo
Enumeration DateMay 14, 2019
Last NPPES UpdateSeptember 9, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
NPI 1235795485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in ND · 1853
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
520 3RD ST NW, Jamestown, ND 58401

Other Names 1

Former Name (1)Jessica Rose Wald Lac

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 (PECOS)

Jessica Rose Bodine Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Counselor (Professional)
520 3RD ST NW
JAMESTOWN, ND 58401
Social Worker (Clinical)
520 3RD ST NW
JAMESTOWN, ND 58401
Case Manager/Care Coordinator
520 3RD ST NW
JAMESTOWN, ND 58401
Case Manager/Care Coordinator
520 3RD ST NW
JAMESTOWN, ND 58401
Social Worker
520 3RD ST NW
JAMESTOWN, ND 58401
Social Worker (Clinical)
520 3RD ST NW
JAMESTOWN, ND 58401
Specialist
520 3RD ST NW
JAMESTOWN, ND 58401
Psychologist (Clinical)
520 3RD ST NW
JAMESTOWN, ND 58401

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 Bodine's NPI number?

The NPI number for Jessica Bodine is 1235795485. It was assigned to this individual provider in the NPPES registry on May 14, 2019. The provider is also known as Jessica Rose Wald Lac.

Where is Jessica Bodine located?

Jessica Bodine practices at 520 3rd St NW, Jamestown, ND 58401. The listed phone number is (701) 253-6300.

What is Jessica Bodine's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Jessica Bodine enrolled in Medicare?

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

What insurance does Jessica Bodine accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Jessica Bodine 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 Jessica Bodine was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.