Individual provider Active NPI

Jayden S Rubino, LMFT

  • Marriage & Family Therapist
  • Waterloo, IA
National Provider Identifier
1073128799
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
100526 Issued in IA
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

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250609001869 IA Practitioner - Marriage and Family Therapist 7911417068 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100526IAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Memorial Hospital Corporation CurrentSince May 12, 2025 Accepting new patients
Allen Memorial Hospital Corporation CurrentSince May 12, 2025 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.

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

Verify at the official NPI Registry.