JESSICA FREDRICKSON LPCC
NPI 1447800651
Counselor - Professional in Willmar, MN

Q: What is Jessica Fredrickson's NPI number?

The NPI number for Jessica Fredrickson is 1447800651. It was assigned to this individual provider in the NPPES registry on September 19, 2019.

Q: What is Jessica Fredrickson's specialty?

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

Active since September 19, 2019PECOS Enrolled

1125 6TH ST SE, WILLMAR, MN 56201(320) 235-4613(855) 625-7406 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 22, 2023, Sep 19, 2019 (2 updates tracked since 2019).

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About Jessica Fredrickson Lpcc NPPES

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

JESSICA FREDRICKSON LPCC (NPI 1447800651) is an individual professional provider in Willmar, Minnesota, licensed in Minnesota (3335) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447800651

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJESSICA FREDRICKSONCredential: LPCC

Location Address1125 6TH ST SEWillmar, MN 56201-4675

Mailing Address1125 6th St SeWillmar, MN 56201-4675 · (320) 235-4613 · Fax (855) 625-7406

Phone(320) 235-4613

Fax(855) 625-7406

Sole ProprietorNo

Enumeration DateSeptember 19, 2019

Last NPPES UpdateMarch 22, 20232 updates tracked since enumeration

NPPES CertifiedMarch 22, 2023

✔ NPI 1447800651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in MN · 3335✔ Licensed in MN · 02338

1125 6TH ST SE, Willmar, MN 56201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Fredrickson Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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Other Providers at the Same Location NPPES 20

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

BECCA WARNE

Social Worker (Clinical)