JESSICA DERRICKSON LPC
NPI 1942554233
Counselor - Professional in Heber Springs, AR

Active since November 08, 2012PECOS EnrolledAccepts Medicare Assignment
207 W MAIN ST STE B, HEBER SPRINGS, AR 72543(501) 206-0831 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 3, 2025, Jul 15, 2019 (2 updates tracked since 2019).

About Jessica Derrickson Lpc NPPES

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

JESSICA DERRICKSON LPC (NPI 1942554233) is an individual professional provider in Heber Springs, Arkansas, licensed in Arkansas (P1907086) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Heber Springs, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1942554233
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA DERRICKSONCredential: LPC
Location Address207 W MAIN ST STE BHeber Springs, AR 72543-3014
Mailing Address110 Skyline DrRussellville, AR 72801-3362 · (479) 967-5570
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 8, 2012
Last NPPES UpdateNovember 3, 20252 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1942554233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · P1907086
207 W MAIN ST STE B, Heber Springs, AR 72543

Secondary Practice Location 1

Location 1104 N 3rd StHeber Springs, AR 72543-3035 · Phone (501) 270-9503

Accepted Insurance

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 Derrickson Lpc 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 ID5395237002
PECOS Enrollment IDI20251120002472
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 Reassignments

3

Medicare enrollment records show Jessica Derrickson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
115 S 3RD ST
Heber Springs, AR 72543
  • Reassigned Medicare billing, Arkansas enrollment
  • 79 clinicians in this Medicare group
Psychiatry
811 W ELGIN ST
Siloam Springs, AR 72761
  • Reassigned Medicare billing, Arkansas enrollment
  • 78 clinicians in this Medicare group
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Arkansas enrollment
  • 57 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.

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 Derrickson's NPI number?

The NPI number for Jessica Derrickson is 1942554233. It was assigned to this individual provider in the NPPES registry on November 8, 2012.

Where is Jessica Derrickson located?

Jessica Derrickson practices at 207 W Main St Ste B, Heber Springs, AR 72543. The listed phone number is (501) 206-0831.

What is Jessica Derrickson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jessica Derrickson enrolled in Medicare?

Yes. Jessica Derrickson 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 organizations bill Medicare for Jessica Derrickson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Derrickson reassigns Medicare benefits to 3 organizations: Counseling Associates, Inc. (Heber Springs, AR), Supportive Psych Care Of Arkansas PA (Siloam Springs, AR) and Mental Health Specialty Group PA (Durham, NC). Each 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 Derrickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Derrickson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Jessica Derrickson 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 Derrickson was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.