1. Home
  2. Directory
  3. Pennsylvania
  4. New Freedom
  5. Psychologist
  6. NPI Profile

JESSICA LYNN DE LEON M.A.
NPI 1255190591
Psychologist - Clinical in New Freedom, PA

Active since March 18, 2024PECOS Enrolled
1102 LINCOLN WAY # 1102, NEW FREEDOM, PA 17349(717) 965-6654 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jessica Lynn De Leon M.a. NPPES

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

JESSICA LYNN DE LEON M.A. (NPI 1255190591) is an individual clinical provider in New Freedom, Pennsylvania, licensed in Maryland (000000000000000) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1255190591
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJESSICA LYNN DE LEONCredential: M.A.
Location Address1102 LINCOLN WAY # 1102New Freedom, PA 17349-9547
Mailing Address1102 Lincoln Way # 1102New Freedom, PA 17349-9547 · (717) 965-6654
Phone(717) 965-6654
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 18, 2024
NPPES CertifiedMarch 16, 2024
✔ NPI 1255190591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MD · 000000000000000
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1102 LINCOLN WAY # 1102, New Freedom, PA 17349
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Lynn De Leon M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456847326
PECOS Enrollment IDI20251230002041, I20251230002271
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 De Leon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Quince Orchard Psychotherapy LLC
51 mi
Psychiatry
9707 KEY WEST AVE STE 100
Rockville, MD 20850
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 44 clinicians in this Medicare group
NPI 1336670389 (240) 750-6467

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 17349 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 De Leon's NPI number?

The NPI number for Jessica De Leon is 1255190591. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Jessica De Leon located?

Jessica De Leon practices at 1102 Lincoln Way # 1102, New Freedom, PA 17349. The listed phone number is (717) 965-6654.

What is Jessica De Leon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jessica De Leon enrolled in Medicare?

Yes. Jessica De Leon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica De Leon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica De Leon reassigns Medicare benefits to Quince Orchard Psychotherapy LLC (Rockville, MD). 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 De Leon'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 De Leon was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.