MS. JESSICA VAN BERKUM
NPI 1740682798
Marriage & Family Therapist in White Bear Lake, MN

Active since September 22, 2014PECOS Enrolled
4756 BANNING AVE STE 210, WHITE BEAR LAKE, MN 55110(612) 824-3369 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 8, 2025, Aug 25, 2024 (2 updates tracked since 2024).

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 and is a graduate of Other (2015).

NPPES Registry Identity

NPI1740682798
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. JESSICA VAN BERKUM
Location Address4756 BANNING AVE STE 210White Bear Lake, MN 55110-3206
Mailing Address1378 Top LnWhite Bear Lake, MN 55110-3620 · (612) 568-2248
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 22, 2014
Last NPPES UpdateApril 8, 20252 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
NPI 1740682798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
4756 BANNING AVE STE 210, White Bear Lake, MN 55110

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Jessica Van Berkum is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42758831
PECOS Enrollment IDI20240812001502, I20260219001067
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 5

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

Counselor
4756 BANNING AVE STE 210
WHITE BEAR LAKE, MN 55110
Counselor (Mental Health)
4756 BANNING AVE STE 210
WHITE BEAR LAKE, MN 55110
Counselor (Mental Health)
4756 BANNING AVE STE 210
SAINT PAUL, MN 55110
Marriage & Family Therapist
4756 BANNING AVE STE 210
WHITE BEAR LAKE, MN 55110
Counselor (Mental Health)
4756 BANNING AVE STE 210
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.

What insurance does Jessica Van Berkum accept?

Health plans from HealthPartners 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 16 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.