Alexandra Jennetten

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

117779 Issued in IA

Practice address

558 28TH St
Des Moines, IA 50312-5222

Phone

(515) 218-9182

NPI assigned

Mar 15, 2023

Last updated

Mar 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1053012161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 LINCOLN PLACE DR",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503123051",
            "telephone_number": "515-556-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 28TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125222",
            "telephone_number": "515-218-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNETTEN",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "T23002",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "117779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Jefferson, RN
• Jakob Jehn
• Mariah Jena, T-LMHC
• Diann Marie Jenison, LISW
• Lindsey Lea Jenkins, M.D.
• Michaela Ann Jens
• Brittany D Jensen, M.D.
• Donald P Jensen, MD
• Joan M. Jensen, RD, LD, CDE
• Lisa Jensen, MD

• Mental Health Counselor in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.