Individual provider Active NPI

Jessica A Ihns, PSY.D.

  • Psychologist
  • Maquoketa, IA
National Provider Identifier
1063486330
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
00999 Issued in IA
Practice address
229 S Main St
Suite 1
Maquoketa, IA 52060-3056
Phone
(563) 552-7080
Fax
(800) 394-1580
NPI assigned
Feb 14, 2006
Last updated
Jun 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 00999 IA
Psychologist 103T00000X 00999 IA Primary
Clinical Psychologist 103TC0700X 00999 IA

Addresses

Primary practice location

229 S Main St
Suite 1
Maquoketa, IA 52060-3056

Mailing address

229 S Main St
Suite 1
Maquoketa, IA 52060-3056
Phone (563) 552-7080

Other names 1

  • Jessica A Schmidt Former name

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
I20080414000347 IA Practitioner - Clinical Psychologist 5496784118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1178 130TH Ave
Lost Nation, IA 52254-9699
Phone (563) 552-7080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4571MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bear Creek Therapy PLLC Psychologist CurrentSince May 1, 2010 Accepting new patients
Brightwater Health Dba Human Development Center Past Accepting new patients
Brightwater Health Dba Human Development Center PastSince Sep 28, 2010 Accepting new patients
Family Psychology Associates, P.C. Mental Health PastSince Jan 1, 1999 Accepting new patients

Locations

1178 130th Ave
Lost Nation, IA 52254
Phone (563) 552-7080

229 S Main St
Ste 1
Maquoketa, IA 52060
Phone (563) 321-6929

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/humandevelopmentcenter/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1063486330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 S MAIN ST",
            "address_2": "SUITE 1",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520603056",
            "telephone_number": "563-552-7080",
            "fax_number": "800-394-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 S MAIN ST",
            "address_2": "SUITE 1",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520603056",
            "telephone_number": "563-552-7080",
            "fax_number": "800-394-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHNS",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00999",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "00999",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "00999",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SCHMIDT",
            "middle_name": "A",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maquoketa, IA

Sources for this page

Verify at the official NPI Registry.