Active NPI
Jayden S Rubino, LMFT
- Marriage & Family Therapist
- Waterloo, IA
National Provider Identifier
1073128799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 100526
- Practice address
- 212 W Dale St
Waterloo, IA 50703-1954 - Phone
- (319) 226-2345
- NPI assigned
- Sep 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 100526 | IA | Primary |
Addresses
Primary practice location
212 W Dale St
Waterloo, IA 50703-1954
Mailing address
212 W Dale St
Waterloo, IA 50703-1954
Phone (319) 504-1829
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100526 | IA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allen Memorial Hospital Corporation | Current | Accepting new patients | |
| Allen Memorial Hospital Corporation | Current | Accepting new patients |
Locations
212 W Dale St
Ste 102
Waterloo, IA 50703
Phone (319) 226-2345
1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Allen Hospital
- Women's Health Nurse Practitioner
- Waterloo, IA
- NPI 1891772927
-
dba Allen Hospital
- Emergency Medicine Physician
- Waterloo, IA
- NPI 1346292521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1073128799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 W DALE ST",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507031954",
"telephone_number": "319-504-1829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 W DALE ST",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507031954",
"telephone_number": "319-226-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBINO",
"first_name": "JAYDEN",
"middle_name": "S",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-10",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IA",
"license": "100526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.