JACOBA DE BOER MA, LPC
NPI 1376420414
Counselor - Professional in Grand Forks, ND
- Individual
- Female
- Counselor
- Professional
- PECOS Enrolled
About JACOBA DE BOER
This page provides the complete NPI Profile along with additional information for Jacoba De Boer, a provider established in Grand Forks, North Dakota with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1376420414 assigned on August 2025. The practitioner's primary taxonomy code is 101YP2500X with license number 1318-8-15-23 (ND). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1376420414 Verify this NPI
- Provider Name
- JACOBA DE BOER MA, LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3535 S 31ST ST STE 201 GRAND FORKS, ND 58201
- Location Phone
- (701) 780-6821
- Location Fax
- (701) 780-1973
- Mailing Address
- 3535 S 31ST ST STE 201 GRAND FORKS, ND 58201
- Mailing Phone
- (701) 780-6821
- Mailing Fax
- (701) 780-1973
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-20-2025
- Last Update Date
- 08-20-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 1318-8-15-23
- License State
- ND
Medicare Participation & PECOS Enrollment Status
Jacoba De Boer is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for JACOBA DE BOER MA, LPC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
GRAND FORKS, ND 58201
GRAND FORKS, ND 58201
GRAND FORKS, ND 58201
GRAND FORKS, ND 58201
GRAND FORKS, ND 58201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376420414, enumerated as an "individual" on August 20, 2025.
The provider is located at 3535 S 31ST ST STE 201 GRAND FORKS, ND 58201 and the phone number is (701) 780-6821.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
