JESSICA EREBOR MSED
NPI 1649761503
Marriage & Family Therapist in Fort Wayne, IN

Q: What is Jessica Erebor's NPI number?

The NPI number for Jessica Erebor is 1649761503. It was assigned to this individual provider in the NPPES registry on May 25, 2018.

Q: What is Jessica Erebor's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Erebor was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 25, 2018PECOS EnrolledAccepts Medicare Assignment

2100 GOSHEN RD, FORT WAYNE, IN 46808(260) 471-3500 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2021, Sep 15, 2020, May 25, 2018 (3 updates tracked since 2018).

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About Jessica Erebor Msed NPPES

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

JESSICA EREBOR MSED (NPI 1649761503) is an individual marriage & family therapist in Fort Wayne, Indiana and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1649761503

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJESSICA EREBORCredential: MSED

Location Address2100 GOSHEN RDFort Wayne, IN 46808-1493

Mailing Address2621 E Jefferson StWarsaw, IN 46580-3880

Phone(260) 471-3500

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMay 25, 2018

Last NPPES UpdateNovember 2, 20213 updates tracked since enumeration

NPPES CertifiedNovember 2, 2021

✔ NPI 1649761503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

2100 GOSHEN RD, Fort Wayne, IN 46808

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Erebor Msed 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 ID8628421609

PECOS Enrollment IDI20240125002830

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.

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.

TIMOTHY JAY HILL MSED

Counselor (Mental Health)