JESSICA CLODFELTER MS, LCMHC, NCC
NPI 1982149142
Counselor - Mental Health in Charlotte, NC
About Jessica Clodfelter Ms, Lcmhc, Ncc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA CLODFELTER MS, LCMHC, NCC (NPI 1982149142) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (12637) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 3
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)
Jessica Clodfelter Ms, Lcmhc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jessica Clodfelter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Raleigh, NC 27615
- Reassigned Medicare billing, North Carolina enrollment
- 188 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 Clodfelter's NPI number?
The NPI number for Jessica Clodfelter is 1982149142. It was assigned to this individual provider in the NPPES registry on December 27, 2016. The provider is also known as Jessica Dawn Kowalski.
Where is Jessica Clodfelter located?
Jessica Clodfelter practices at 2627 Heather Glen Ln, Charlotte, NC 28208. The listed phone number is (336) 337-1519.
What is Jessica Clodfelter's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jessica Clodfelter enrolled in Medicare?
Yes. Jessica Clodfelter is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jessica Clodfelter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Clodfelter reassigns Medicare benefits to Thriveworks Clinical - North Carolina PC (Raleigh, NC). 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 Clodfelter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Clodfelter accept?
Health plans from Cigna Healthcare and UnitedHealthcare list Jessica Clodfelter 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 Clodfelter was last updated on May 20, 2022. 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.
# Jessica Clodfelter, MS, LCMHC, NCC · NPI 1982149142
Mental Health provider in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since December 27, 2016.
## Identity
- **NPI:** 1982149142 (Entity type: Individual)
- **Enumerated:** December 27, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 12637 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2627 HEATHER GLEN LN, Charlotte, NC 28208-2577
- **Phone:** (336) 337-1519
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Thriveworks Clinical - North Carolina PC (NPI 1003303082, Raleigh, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1982149142) · Data from the CMS NPPES public registry.