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JACOBA DE BOER MA, LPC
NPI 1376420414
Counselor - Professional in Grand Forks, ND

Active since August 20, 2025PECOS EnrolledAccepts Medicare Assignment
3535 S 31ST ST STE 201, GRAND FORKS, ND 58201(701) 780-6821(701) 780-1973 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jacoba De Boer Ma, Lpc NPPES

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

JACOBA DE BOER MA, LPC (NPI 1376420414) is an individual professional provider in Grand Forks, North Dakota, licensed in North Dakota (1318-8-15-23) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of University Of North Dakota School Of Medicine (2023).

NPPES Registry Identity

NPI1376420414
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACOBA DE BOERCredential: MA, LPC
Location Address3535 S 31ST ST STE 201Grand Forks, ND 58201-3593
Mailing Address3535 S 31st St Ste 201Grand Forks, ND 58201-3593 · (701) 780-6821 · Fax (701) 780-1973
Phone(701) 780-6821
Fax(701) 780-1973
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2023
Enumeration DateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1376420414 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 · 1318-8-15-23
3535 S 31ST ST STE 201, Grand Forks, ND 58201
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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 and accepts Medicare assignment

Jacoba De Boer Ma, Lpc 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 ID3072006287
PECOS Enrollment IDI20251205001837
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 Jacoba De Boer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Assessment And Therapy Associates Of Grand Forks, PLLC
Same address
Clinical
3535 S 31ST ST, SUITE 201
Grand Forks, ND 58201
  • Reassigned Medicare billing, North Dakota enrollment
  • 23 clinicians in this Medicare group
NPI 1437181591 (701) 780-6821

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 19

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

KATHERINE MICHELLE FRANCIS MSW LICSW
Social Worker (Clinical)
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Grand Forks County (701) 780-6821
MEGYN RENEE USELDINGER LICSW
Social Worker
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Grand Forks County (701) 780-6821
MR. TIRAM GAMLIEL LPCC
Counselor (Professional)
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Grand Forks County (701) 780-6821
ELIZABETH J LUGER PHD
Psychologist (Clinical)
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Grand Forks County (701) 780-6821
DEBBIE ANN OBERG LICSW, CDMS
Social Worker
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Grand Forks County (701) 780-6821
DR. DESIREE A JAGOW-FRANCE PH.D.
Psychologist (Clinical)
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Grand Forks County (701) 780-6821
KATHRYN LANG MA
Psychologist (Clinical)
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Grand Forks County (701) 780-6821
DR. PETER A SCHMUTZER PHD
Psychologist (Clinical)
3535 S 31ST ST STE 201
GRAND FORKS, ND 58201
Grand Forks County (701) 780-6821

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 Jacoba De Boer's NPI number?

The NPI number for Jacoba De Boer is 1376420414. It was assigned to this individual provider in the NPPES registry on August 20, 2025.

Where is Jacoba De Boer located?

Jacoba De Boer practices at 3535 S 31st St Ste 201, Grand Forks, ND 58201. The listed phone number is (701) 780-6821.

What is Jacoba De Boer's specialty?

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

Is Jacoba De Boer enrolled in Medicare?

Yes. Jacoba De Boer 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.

Which organization bills Medicare for Jacoba De Boer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacoba De Boer reassigns Medicare benefits to Assessment And Therapy Associates Of Grand Forks, PLLC (Grand Forks, ND). 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 Jacoba De Boer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacoba De Boer accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Jacoba De Boer 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 Jacoba De Boer was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.