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

Active since September 19, 2019PECOS EnrolledAccepts Medicare Assignment
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: November 08, 2026.

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

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 and is a graduate of Other (2019).

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
Medical School CMSOtherGraduated 2019
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, Medica.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

Jessica Fredrickson 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 ID3779014154
PECOS Enrollment IDI20241009003262
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 Jessica Fredrickson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Woodland Centers
Same address
Mental Health (Including Community Mental Health Center)
1125 6TH ST SE
Willmar, MN 56201
  • Reassigned Medicare billing, Minnesota enrollment
  • 54 clinicians in this Medicare group
NPI 1295818862 (320) 235-4613

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 20

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

BECCA WARNE
Social Worker (Clinical)
1125 6TH ST SE
WILLMAR, MN 56201
Kandiyohi County (320) 235-4613
CATHERINE LOUCILE MOUDRY LMFT
Marriage & Family Therapist
1125 6TH ST SE
WILLMAR, MN 56201
Kandiyohi County (320) 235-4613
TAYLOR MADSEN
Social Worker (Clinical)
1125 6TH ST SE
WILLMAR, MN 56201
Kandiyohi County (320) 235-4613
DAVID ANTHONY MUNSON LICSW
Social Worker (Clinical)
1125 6TH ST SE
WILLMAR, MN 56201
Kandiyohi County (320) 235-4613
HEIDI WINTER LICSW
Social Worker (Clinical)
1125 6TH ST SE
WILLMAR, MN 56201
Kandiyohi County (320) 235-4613
DR. JULIE ANNE PATTEN PSY. D., LP
Psychologist (Clinical)
1125 6TH ST SE
WILLMAR, MN 56201
Kandiyohi County (320) 235-4613
KRISTIN ASHLIE STATEN HALL LCSW
Social Worker (Clinical)
1125 6TH ST SE
WILLMAR, MN 56201
Kandiyohi County (320) 235-4613
EMILY ABBIGAIL MOLENAAR LICSW
Social Worker (Clinical)
1125 6TH ST SE
WILLMAR, MN 56201
Kandiyohi County (320) 894-9788

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 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.

Where is Jessica Fredrickson located?

Jessica Fredrickson practices at 1125 6th St SE, Willmar, MN 56201. The listed phone number is (320) 235-4613.

What is Jessica Fredrickson's specialty?

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

Is Jessica Fredrickson enrolled in Medicare?

Yes. Jessica Fredrickson 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 Jessica Fredrickson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Fredrickson reassigns Medicare benefits to Woodland Centers (Willmar, MN). 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 Jessica Fredrickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Fredrickson accept?

Health plans from HealthPartners and Medica list Jessica Fredrickson 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 Jessica Fredrickson was last updated on March 22, 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.