Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica Erebor, MSED

Individual provider Mental Health Counselor · NPI 1649761503

Jessica Erebor, MSED is a Marriage and Family Therapist in Fort Wayne, Indiana. Qualified in 2018, 8 years ago. Practices with Shock Therapy Group LLC, a 3-clinician group and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

2100 Goshen Rd
Fort Wayne, IN 46808-1493
Phone: (260) 471-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1649761503
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED
Sole proprietorNo
NPI enumeratedMay 25, 2018
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Shock Therapy Group Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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