MS. JESSICA VAN BERKUM
NPI 1740682798
Marriage & Family Therapist in White Bear Lake, MN
About Ms. Jessica Van Berkum NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JESSICA VAN BERKUM (NPI 1740682798) is an individual marriage & family therapist in White Bear Lake, Minnesota and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Paul, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Jessica Van Berkum is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jessica Van Berkum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Paul, MN 55105
- Reassigned Medicare billing, Minnesota and South Dakota enrollments
- 16 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WHITE BEAR LAKE, MN 55110
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 Van Berkum's NPI number?
The NPI number for Jessica Van Berkum is 1740682798. It was assigned to this individual provider in the NPPES registry on September 22, 2014.
Where is Jessica Van Berkum located?
Jessica Van Berkum practices at 4756 Banning Ave Ste 210, White Bear Lake, MN 55110. The listed phone number is (612) 824-3369.
What is Jessica Van Berkum's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Jessica Van Berkum enrolled in Medicare?
Yes. Jessica Van Berkum is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jessica Van Berkum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Van Berkum reassigns Medicare benefits to Grander Peace Counseling LLC (Saint Paul, 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 Van Berkum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Van Berkum accept?
Health plans from HealthPartners, Sanford Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Jessica Van Berkum 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 Van Berkum was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Ms. Jessica Van Berkum · NPI 1740682798
Marriage & Family Therapist provider in White Bear Lake, Minnesota. Individual provider, active in the CMS NPPES registry since September 22, 2014.
## Identity
- **NPI:** 1740682798 (Entity type: Individual)
- **Enumerated:** September 22, 2014
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 4756 BANNING AVE STE 210, White Bear Lake, MN 55110-3206
- **Phone:** (612) 824-3369
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grander Peace Counseling LLC (NPI 1013486505, Saint Paul, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1740682798) · Data from the CMS NPPES public registry.