Jessica Rose Bodine, LAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Jamestown, ND
NPI 1235795485 · NPPES record last updated Sep 9, 2025
Key facts
- NPI
- 1235795485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1853 (ND)
- Practice address
- 520 3Rd St NW
Jamestown, ND 58401-2968 - Phone
- (701) 253-6300
- Fax
- (701) 253-6400
- NPI assigned
- May 14, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241114002240 | ND | Practitioner - Mental Health Counselor | 4486188356 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1853 | ND | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Behavioral Health Clinic | Current |
Accepting new patients | |
| Northwest Behavioral Health Clinic | Current |
Accepting new patients | |
| Badlands Behavioral Health Clinic | Current |
Accepting new patients | |
| South Central Behavioral Health Clinic | Case Management | Current |
Accepting new patients |
| North Central Behavioral Health Clinic | Current |
Accepting new patients | |
| West Central Behavioral Health Clinic | Current |
Accepting new patients | |
| Northeast Human Service Center | Current |
Accepting new patients | |
| Lake Region Behavioral Health Clinic | Current |
Accepting new patients | |
| Southeast Behavioral Health Clinic | Current |
Accepting new patients | |
| Badlands Behavioral Health Clinic | Past |
Accepting new patients |
Locations
600 E Boulevard Ave
Dept 325
Bismarck, ND 58505
Phone (701) 328-4644
1237 W Divide Ave
Ste 5
Bismarck, ND 58501
Phone (701) 328-8888
200 Highway 2 W
Devils Lake, ND 58301
Phone (701) 665-2200
1463 I94 Business Loop E
Dickinson, ND 58601
Phone (701) 227-7500
2624 9th Ave SW
Fargo, ND 58103
Phone (701) 298-4500
151 S 4th St
Ste 401
Grand Forks, ND 58201
Phone (701) 795-3000
520 3rd St NW
Jamestown, ND 58401
Phone (701) 253-6300
1015 S Broadway
Ste 18
Minot, ND 58701
Phone (701) 857-8500
316 2nd Ave W
Williston, ND 58801
Phone (701) 774-4600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1853 | ND | Yes |
| Case Manager/Care Coordinator | 171M00000X | ND |
Addresses
Primary practice location
520 3Rd St NW
Jamestown, ND 58401-2968
Mailing address
520 3Rd St NW
Jamestown, ND 58401-2968
Phone (701) 253-6300
Other names
- Jessica Rose Wald
Other providers in Jamestown, ND
- Nate Scott Bivens
- Blessed Homes Jamestown ND
- Blessed Homes Jamestown ND
- Brandie Block-Ramlo
- Kyle Blumenshine
- Andrea Christine Boerger Stilwell
- Adrienne Rae Maree Bohl
- Briana Bohn
- Laura Ann Bond
- Taryn Nicole Boom
All providers in Jamestown, ND · Addiction (Substance Use Disorder) Counselor in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.