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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: October 18, 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
Phone(701) 253-6300
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
Open in Google Maps ↗

Other Names 1

Former Name (1)Jessica Rose Wald Lac

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

8

Medicare enrollment records show Jessica Bodine reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Central Behavioral Health Clinic
Same address
Mental Health (Including Community Mental Health Center)
520 3RD ST NW
Jamestown, ND 58401
  • Reassigned Medicare billing, North Dakota enrollment
  • Medicare enrollment name: South Central Human Service Center
  • 73 clinicians in this Medicare group
NPI 1225075906 (701) 253-6300
Lake Region Behavioral Health Clinic
82 mi
Mental Health (Including Community Mental Health Center)
200 HIGHWAY 2 W
Devils Lake, ND 58301
  • Reassigned Medicare billing, North Dakota enrollment
  • Medicare enrollment name: Lake Region Human Service Center
  • 69 clinicians in this Medicare group
NPI 1669411930 (701) 665-2200
Southeast Behavioral Health Clinic
90 mi
Rehabilitation, Substance Use Disorder
2624 9TH AVE S
Fargo, ND 58103
  • Reassigned Medicare billing, North Dakota enrollment
  • Medicare enrollment name: Southeast Human Service Center
  • 91 clinicians in this Medicare group
NPI 1932146941 (701) 298-4500
West Central Behavioral Health Clinic
98 mi
Mental Health (Including Community Mental Health Center)
1237 W DIVIDE AVE, STE 5
Bismarck, ND 58501
  • Reassigned Medicare billing, North Dakota enrollment
  • Medicare enrollment name: West Central Human Service Center
  • 89 clinicians in this Medicare group
NPI 1649226713 (701) 328-8888
Northeast Behavioral Health Clinic
106 mi
Mental Health (Including Community Mental Health Center)
151 S 4TH ST, SUITE 401
Grand Forks, ND 58201
  • Reassigned Medicare billing, North Dakota enrollment
  • Medicare enrollment name: Northeast Human Service Center
  • 79 clinicians in this Medicare group
NPI 1366496341 (701) 795-3000
North Central Behavioral Health Clinic
151 mi
Clinic/Center
1015 S BROADWAY STE 18
Minot, ND 58701
  • Reassigned Medicare billing, North Dakota enrollment
  • Medicare enrollment name: North Central Human Service Center
  • 78 clinicians in this Medicare group
NPI 1477592533 (701) 857-8500
Badlands Behavioral Health Clinic
192 mi
Mental Health (Including Community Mental Health Center)
1463 I94 BUSINESS LOOP E
Dickinson, ND 58601
  • Reassigned Medicare billing, North Dakota enrollment
  • Medicare enrollment name: Badlands Human Service Center
  • 79 clinicians in this Medicare group
NPI 1124072525 (701) 227-7500
Northwest Behavioral Health Clinic
245 mi
Adult Mental Health
316 2ND AVE W
Williston, ND 58801
  • Reassigned Medicare billing, North Dakota enrollment
  • Medicare enrollment name: Northwest Human Service Center
  • 69 clinicians in this Medicare group
NPI 1770524613 (701) 774-4600

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

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.

ASHLEY ZABKA
Counselor (Professional)
520 3RD ST NW
JAMESTOWN, ND 58401
Stutsman County (701) 253-6300
MEGGAN MICHELLE SEVERSON LMSW
Social Worker (Clinical)
520 3RD ST NW
JAMESTOWN, ND 58401
Stutsman County (701) 253-6300
MEGAN CASAVANT CM
Case Manager/Care Coordinator
520 3RD ST NW
JAMESTOWN, ND 58401
Stutsman County (701) 253-6300
MRS. KAREN J WIDMER
Case Manager/Care Coordinator
520 3RD ST NW
JAMESTOWN, ND 58401
Stutsman County (701) 253-6319
DONNA J REHAK LSW
Social Worker
520 3RD ST NW
JAMESTOWN, ND 58401
Stutsman County (701) 253-6401
CHELSEA MODLIN LSCW
Social Worker (Clinical)
520 3RD ST NW
JAMESTOWN, ND 58401
Stutsman County (701) 253-6300
NICOLE HEINLE
Specialist
520 3RD ST NW
JAMESTOWN, ND 58401
Stutsman County (701) 253-6300
JENNIFER DAWN NITSCHKE PSYD
Psychologist (Clinical)
520 3RD ST NW
JAMESTOWN, ND 58401
Stutsman County (701) 253-6300

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.

Which organizations bill Medicare for Jessica Bodine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Bodine reassigns Medicare benefits to 8 organizations: South Central Behavioral Health Clinic (Jamestown, ND), Lake Region Behavioral Health Clinic (Devils Lake, ND), Southeast Behavioral Health Clinic (Fargo, ND), West Central Behavioral Health Clinic (Bismarck, ND), Northeast Behavioral Health Clinic (Grand Forks, ND) and 3 more organizations, listed in the Medicare section above. Each 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 Bodine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 13 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.