Individual provider Active NPI

Jacarie Eileen Owens, MS, LMHC

  • Mental Health Counselor
  • West Des Moines, IA
National Provider Identifier
1093180416
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
080466 Issued in IA
Practice address
1200 Valley West Dr Ste 704
West Des Moines, IA 50266
Phone
(515) 901-9416
Fax
(515) 410-9116
NPI assigned
Dec 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 080466 IA Primary

Addresses

Primary practice location

1200 Valley West Dr Ste 704
West Des Moines, IA 50266

Mailing address

PO Box 65917
West Des Moines, IA 50265-0917
Phone (515) 901-9416

Other practice location 1

1200 Valley West Dr Ste 704
West Des Moines, IA 50266-1907
Phone (515) 901-9416

Other practice location 2

1000 73rd St
Suite 5
Windsor Heights, IA 50324
Phone (515) 222-1175

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
I20240103000768 IA Practitioner - Mental Health Counselor 9638529662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1441 29TH St
Suite 115
West Des Moines, IA 50266-1309
Phone (515) 901-9416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
080466IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Courageous Minds Counseling Mental Health CurrentSince Dec 8, 2023 Accepting new patients

Locations

1000 73rd St
Ste 5
West Des Moines, IA 50265
Phone (515) 222-1175

1441 29th St
Ste 115
West Des Moines, IA 50266
Phone (515) 537-1065

1200 Valley West Dr
Ste 704
West Des Moines, IA 50266
Phone (515) 602-4365

Organizations & group practices 1

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": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1093180416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65917",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502650917",
            "telephone_number": "515-901-9416",
            "fax_number": "515-410-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 VALLEY WEST DR STE 704",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "50266",
            "telephone_number": "515-901-9416",
            "fax_number": "515-410-9116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Valley West Dr Ste 704",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502661907",
            "country_code": "US",
            "telephone_number": "515-901-9416",
            "fax_number": "515-410-9116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 73rd St",
            "address_2": "Suite 5",
            "address_purpose": "LOCATION",
            "city": "Windsor Heights",
            "state": "IA",
            "postal_code": "50324",
            "country_code": "US",
            "telephone_number": "515-222-1175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "JACARIE",
        "middle_name": "EILEEN",
        "credential": "MS, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-10",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "080466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.