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JESSICA EDMUNDS
NPI 1508472192
Counselor - Mental Health in Erie, PA

Active since September 18, 2020PECOS EnrolledAccepts Medicare Assignment
4320 DEXTER AVE, ERIE, PA 16504(814) 825-2930 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 31, 2025, Oct 9, 2025, Sep 18, 2020 (3 updates tracked since 2020).

About Jessica Edmunds NPPES

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

JESSICA EDMUNDS (NPI 1508472192) is an individual mental health provider in Erie, Pennsylvania, licensed in Pennsylvania (PC011311) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1508472192
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA EDMUNDS
Location Address4320 DEXTER AVEErie, PA 16504-2444
Mailing Address949 W 30th StErie, PA 16508-1645 · (814) 323-3168
Phone(814) 825-2930
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 18, 2020
Last NPPES UpdateDecember 31, 20253 updates tracked since enumeration
NPPES CertifiedDecember 31, 2025
✔ NPI 1508472192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in PA · PC011311
4320 DEXTER AVE, Erie, PA 16504
Open in Google Maps ↗

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 Edmunds 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 ID3678065067
PECOS Enrollment IDI20251124000895
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 Edmunds reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Abcs Of Building Better Lives LLC
Same address
Professional
4320 DEXTER AVE
Erie, PA 16504
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 19 clinicians in this Medicare group
NPI 1922336940 (814) 825-2930

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 18

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

ALEN MELIK-ADAMYAN LCSW
Social Worker
4320 DEXTER AVE
ERIE, PA 16504
Erie County (814) 825-2930
MRS. LORRAINA LYNN COVEL LPC
Counselor
4320 DEXTER AVE
ERIE, PA 16504
Erie County (814) 825-2930
ROBERT GIANNAMORE
Counselor (Professional)
4320 DEXTER AVE
ERIE, PA 16504
Erie County (724) 456-7006
MARCIA DEVON ANDERSON NCC, LPC
Counselor (Professional)
4320 DEXTER AVE
ERIE, PA 16504
Erie County (814) 825-2930
ASHLEY MARGARET GLEASON LPC
Counselor (Mental Health)
4320 DEXTER AVE
ERIE, PA 16504
Erie County (814) 825-2930
JESSICA DAHLGREN MS, NCC, LPC
Counselor (Professional)
4320 DEXTER AVE
ERIE, PA 16504
Erie County (814) 825-2930
HANNAH PROPER LCSW
Social Worker (Clinical)
4320 DEXTER AVE
ERIE, PA 16504
Erie County (814) 825-2930
MARY LYNN ROTE LPC
Counselor (Professional)
4320 DEXTER AVE
ERIE, PA 16504
Erie County (814) 825-2930

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 Edmunds's NPI number?

The NPI number for Jessica Edmunds is 1508472192. It was assigned to this individual provider in the NPPES registry on September 18, 2020.

Where is Jessica Edmunds located?

Jessica Edmunds practices at 4320 Dexter Ave, Erie, PA 16504. The listed phone number is (814) 825-2930.

What is Jessica Edmunds's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jessica Edmunds enrolled in Medicare?

Yes. Jessica Edmunds 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 Edmunds's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Edmunds reassigns Medicare benefits to Abcs Of Building Better Lives LLC (Erie, PA). 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 Edmunds'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 Edmunds was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.