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

Q: 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.

Q: What is Jacoba De Boer's specialty?

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

Q: 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 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.

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: August 16, 2026.

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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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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)