Individual provider Active NPI

Jonathan S Fasse

  • Social Worker
  • Des Moines, IA
National Provider Identifier
1043796295
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
2340 Euclid Ave
Des Moines, IA 50310-5702
Phone
(515) 263-0019
NPI assigned
Jul 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X IA Primary

Addresses

Primary practice location

2340 Euclid Ave
Des Moines, IA 50310-5702

Mailing address

2340 Euclid Ave
Des Moines, IA 50310-5702
Phone (515) 263-0019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20250129001953 IA Practitioner - Clinical Social Worker 7113456633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

930 42ND St
West Des Moines, IA 50265-3025
Phone (515) 344-3144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vermeer Quist Consulting, LLC Current Accepting new patients
Faith and Freedom Therapy LLC Social Worker CurrentSince Dec 27, 2024 Accepting new patients

Locations

974 73rd St
Ste 24
West Des Moines, IA 50265
Phone (515) 267-9054

Organizations & group practices 2

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": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1043796295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 EUCLID AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503105702",
            "telephone_number": "515-263-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 EUCLID AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503105702",
            "telephone_number": "515-263-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASSE",
        "first_name": "JONATHAN",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.