JESSICA CREIDLER LPC
NPI 1508632506
Counselor - Mental Health in Doylestown, PA
About Jessica Creidler Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA CREIDLER LPC (NPI 1508632506) is an individual mental health provider in Doylestown, Pennsylvania, licensed in Pennsylvania (PC016035) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessica Creidler Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jessica Creidler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wayne, PA 19087
- Reassigned Medicare billing, Pennsylvania enrollment
- 10 clinicians in this Medicare group
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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Creidler's NPI number?
The NPI number for Jessica Creidler is 1508632506. It was assigned to this individual provider in the NPPES registry on November 30, 2023.
Where is Jessica Creidler located?
Jessica Creidler practices at 312 Hyde Park, Doylestown, PA 18902. The listed phone number is (215) 345-5083.
What is Jessica Creidler's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jessica Creidler enrolled in Medicare?
Yes. Jessica Creidler is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jessica Creidler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Creidler reassigns Medicare benefits to Moodrx LLC (Wayne, 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 Creidler'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 Creidler was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jessica Creidler, LPC · NPI 1508632506
Mental Health provider in Doylestown, Pennsylvania. Individual provider, active in the CMS NPPES registry since November 30, 2023.
## Identity
- **NPI:** 1508632506 (Entity type: Individual)
- **Enumerated:** November 30, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** PC016035 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 312 HYDE PARK, Doylestown, PA 18902-6605
- **Phone:** (215) 345-5083
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Moodrx LLC (NPI 1912735267, Wayne, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** November 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1508632506) · Data from the CMS NPPES public registry.