Jessica Derrickson, LPC
Counselor, Professional in Heber Springs, AR. Individual provider (NPI-1).
NPI number1942554233
StatusActive
Last updated in NPPESNov 3, 2025
Details
- NPI
- 1942554233
- Entity type
- Individual (NPI-1)
- Name
- Jessica Derrickson
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2012
- Certification date
- Nov 3, 2025
- Last updated
- Nov 3, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | P1907086 | AR | Yes |
Practice location
207 W Main St Ste BHeber Springs, AR 72543-3014
Phone 501-206-0831
Mailing address
110 Skyline DrRussellville, AR 72801-3362
Phone 479-967-5570
Other practice locations
104 N 3rd St
Heber Springs, AR 72543-3035
Heber Springs, AR 72543-3035
Phone 501-270-9503
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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