Organization Active NPI

New Beginnings Mental Health Therapy Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Creston, IA
National Provider Identifier
1003289323
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
00738 Issued in IA
Legal business name
NEW BEGINNINGS MENTAL HEALTH THERAPY SERVICES LLC
Practice address
709 Cottonwood Rd
Creston, IA 50801-1914
Phone
(641) 278-1095
Fax
(641) 278-1095
NPI assigned
Nov 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Jill Alana Jackson, LMHCNPI 1043270093
Title
Owner
Phone
(641) 278-1095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 00738 IA Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 00738 IA

Addresses

Primary practice location

709 Cottonwood Rd
Creston, IA 50801-1914

Mailing address

709 Cottonwood Rd
Creston, IA 50801-1914
Phone (641) 278-1095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240213000502 IA Part B Supplier - Clinic/Group Practice 8224471636 Receives reassigned benefits from 1 practitioner
Practice locations: Creston, IA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1003289323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 COTTONWOOD RD",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011914",
            "telephone_number": "641-278-1095",
            "fax_number": "641-278-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 COTTONWOOD RD",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011914",
            "telephone_number": "641-278-1095",
            "fax_number": "641-278-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS MENTAL HEALTH THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "ALANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-278-1095",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IA",
            "license": "00738",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IA",
            "license": "00738",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.