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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: August 09, 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
Phone(501) 206-0831
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
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Secondary Practice Location 1

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

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 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.

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.

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 9 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.