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JESSICA DEDRICK MA, LPCC
NPI 1992680193
Counselor - Mental Health in Maple Grove, MN

Active since August 07, 2025PECOS Enrolled
11280 86TH AVE N, MAPLE GROVE, MN 55369(763) 400-7828 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jessica Dedrick Ma, Lpcc NPPES

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

JESSICA DEDRICK MA, LPCC (NPI 1992680193) is an individual mental health provider in Maple Grove, Minnesota, licensed in Minnesota (5122) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1992680193
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA DEDRICKCredential: MA, LPCC
Location Address11280 86TH AVE NMaple Grove, MN 55369-4510
Mailing Address1034 Tyler LnUpland, CA 91784-9279 · (612) 581-6831
Phone(763) 400-7828
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 7, 2025
NPPES CertifiedAugust 7, 2025
✔ NPI 1992680193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 5122
11280 86TH AVE N, Maple Grove, MN 55369
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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 Dedrick Ma, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870081425
PECOS Enrollment IDI20251024000872
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 Reassignment

Medicare enrollment records show Jessica Dedrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthwise Psychology, PA
Same address
Clinical
11280 86TH AVE N
Maple Grove, MN 55369
  • Reassigned Medicare billing, Minnesota enrollment
  • 52 clinicians in this Medicare group
NPI 1184920753 (763) 400-7828

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 16

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

KATHRYN SCHUSTER
Social Worker (Clinical)
11280 86TH AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 400-7828
JENNIFER ANDERSON LMFT
Marriage & Family Therapist
11280 86TH AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 400-7828
DR. KRISTIN BETH DAHL PSYD, LP
Psychologist (Clinical)
11280 86TH AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 400-7828
HEALTHWISE PSYCHOLOGY, PA
Psychologist (Clinical)
11280 86TH AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 400-7828
DR. HEIDI KOPACEK PSYD, LP
Psychologist (Clinical)
11280 86TH AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 400-7828
LAUREN MARIE SIMENSEN LICSW
Social Worker (Clinical)
11280 86TH AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 400-7828
RANDI JO ORDNER MA, LMFT
Marriage & Family Therapist
11280 86TH AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 242-6598
DR. PATTY HLAVA LMFT, PH.D.
Marriage & Family Therapist
11280 86TH AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 400-7828

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 Dedrick's NPI number?

The NPI number for Jessica Dedrick is 1992680193. It was assigned to this individual provider in the NPPES registry on August 7, 2025.

Where is Jessica Dedrick located?

Jessica Dedrick practices at 11280 86th Ave N, Maple Grove, MN 55369. The listed phone number is (763) 400-7828.

What is Jessica Dedrick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jessica Dedrick enrolled in Medicare?

Yes. Jessica Dedrick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Dedrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Dedrick reassigns Medicare benefits to Healthwise Psychology, PA (Maple Grove, 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 Dedrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Dedrick accept?

Health plans from HealthPartners list Jessica Dedrick 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 Dedrick was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.