Individual provider Active NPI

Jenny Marie Perezchica, LPCC

  • Professional Counselor
  • Bismarck, ND
National Provider Identifier
1396408589
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10737120518 Issued in ND
Practice address
107 W Main Ave Ste 200
Bismarck, ND 58501-3871
Phone
(701) 353-5560
Fax
(701) 299-9100
NPI assigned
Oct 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 10737120518 ND Primary
Mental Health Counselor 101YM0800X 10737120518 ND

Addresses

Primary practice location

107 W Main Ave Ste 200
Bismarck, ND 58501-3871

Mailing address

107 W Main Ave Ste 200
Bismarck, ND 58501-3871
Phone (701) 353-5560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240315001729 ND Practitioner - Mental Health Counselor 0042669798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspire Mental Health Counseling PLLCGroup PAC ID 2062861701, 4 clinicians

Practice addresses (Care Compare)

107 W Main Ave
Suite 200
Bismarck, ND 58501-3871
Phone (701) 353-5560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10737120518NDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Mental Health Counseling, PLLC CurrentSince Oct 10, 2023 Accepting new patients

Locations

120 N 3rd St
Ste 250
Bismarck, ND 58501
Phone (701) 353-5560

107 W Main Ave
Ste 200
Bismarck, ND 58501
Phone (701) 353-5560

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1396408589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W MAIN AVE STE 200",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013871",
            "telephone_number": "701-353-5560",
            "fax_number": "701-299-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W MAIN AVE STE 200",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013871",
            "telephone_number": "701-353-5560",
            "fax_number": "701-299-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZCHICA",
        "first_name": "JENNY",
        "middle_name": "MARIE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "10737120518",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "10737120518",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.