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

Jessica K Wilbur, PSYDLP

Individual provider Mental Health Counselor · NPI 1063002053

Jessica K Wilbur, PSYDLP is a Clinical Psychologist in Coon Rapids, Minnesota. Qualified in 2024, 2 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

11850 Blackfoot St NW Ste 405
Coon Rapids, MN 55433-2773
Phone: (763) 236-0888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 414 N Meridian St, Newberg, OR 97132-2697 — (503) 554-2390

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP7271 (MN)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1063002053
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYDLP
Sole proprietorNo
NPI enumeratedJanuary 22, 2021
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Coon Rapids