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JESSICA ELIZABETH NELSON MA, LADC, LPCC
NPI 1386267110
Counselor - Professional in Cottage Grove, MN

Active since May 27, 2020PECOS EnrolledAccepts Medicare Assignment
JESSICA NELSON, MA, LPCC, LADC, 6936 PINE ARBOR DRIVE S, SUITE 200, COTTAGE GROVE, MN 55016(651) 461-2904(651) 461-2904 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 14, 2023, Mar 11, 2023, Jan 14, 2022 and 7 more (10 updates tracked since 2020).

About Jessica Elizabeth Nelson Ma, Ladc, Lpcc NPPES

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

JESSICA ELIZABETH NELSON MA, LADC, LPCC (NPI 1386267110) is an individual professional provider in Cottage Grove, Minnesota, licensed in Minnesota (03725) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1386267110
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA ELIZABETH NELSONCredential: MA, LADC, LPCC
Location AddressJESSICA NELSON, MA, LPCC, LADC, 6936 PINE ARBOR DRIVE S, SUITE 200Cottage Grove, MN 55016
Mailing AddressJessica Nelson, Ma, Lpc, Ladc, 6936 Pine Arbor Drive S, Suite 200Cottage Grove, MN 55016 · (651) 461-2904 · Fax (651) 461-2904
Phone(651) 461-2904
Fax(651) 461-2904
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 27, 2020
Last NPPES UpdateMarch 14, 202310 updates tracked since enumeration
NPPES CertifiedMarch 11, 2023
✔ NPI 1386267110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in MN · 03725✔ Licensed in MN · 2521
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 305785 (MN)
JESSICA NELSON, MA, LPCC, LADC, Cottage Grove, MN 55016
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Jessica Elizabeth Nelson Ma, Ladc, Lpcc 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 ID7214374339
PECOS Enrollment IDI20240326000534
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

3

Medicare enrollment records show Jessica Nelson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Express Care
8.4 mi
Pediatric Rehabilitation Medicine
9680 TAMARACK RD, SUITE 130
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1700235587 (612) 273-1172
Fairview Specialty Services
15 mi
Point of Service
1700 UNIVERSITY AVE W
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
NPI 1912066218 (763) 525-9919
Range Regional Health Services
179 mi
General Acute Care Hospital
750 E 34TH ST
Hibbing, MN 55746
  • Reassigned Medicare billing, Minnesota enrollment
  • 707 clinicians in this Medicare group
NPI 1356321699 (218) 262-4881

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

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 Nelson's NPI number?

The NPI number for Jessica Nelson is 1386267110. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Where is Jessica Nelson located?

Jessica Nelson practices at Jessica Nelson, Ma, Lpcc, Ladc 6936 Pine Arbor Drive S, Suite 200, Cottage Grove, MN 55016. The listed phone number is (651) 461-2904.

What is Jessica Nelson's specialty?

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

Is Jessica Nelson enrolled in Medicare?

Yes. Jessica Nelson 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 organizations bill Medicare for Jessica Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Nelson reassigns Medicare benefits to 3 organizations: Fairview Express Care (Woodbury, MN), Fairview Specialty Services (Saint Paul, MN) and Range Regional Health Services (Hibbing, MN). 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 Nelson'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 Nelson was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.