Individual provider Active NPI

Sara Jones, LMHC, NCC

  • Mental Health Counselor
  • Fairfield, IA
National Provider Identifier
1104307123
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
103 E Adams Ave
Fairfield, IA 52556-3461
Phone
(319) 293-3635
NPI assigned
Aug 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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 Primary

Addresses

Primary practice location

103 E Adams Ave
Fairfield, IA 52556-3461

Mailing address

21545 170TH St
Birmingham, IA 52535-8044
Phone (641) 919-9388

Other practice location 1

120 N Highway 1
Birmingham, IA 52535-7700
Phone (641) 455-0636

Other practice location 2

33727 Route J40
Farmington, IA 52626-8024
Phone (641) 455-0636

Other practice location 3

405 4th St
Keosauqua, IA 52565-1089
Phone (641) 455-0636

Other practice location 4

14574 Jefferson St
Douds, IA 52551-8170
Phone (641) 455-0636

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
I20240730000713 IA Practitioner - Mental Health Counselor 3375080104 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Day Rising LLC Mental Health CurrentSince Apr 9, 2024 Accepting new patients
R&R Counseling Solutions Mental Health CurrentSince Jul 17, 2024 Accepting new patients
Lindberg Chiropractic PC PastSince Mar 31, 2024 Accepting new patients
R&R Counseling Solutions PastSince Oct 13, 2024 Accepting new patients

Locations

103 E Adams Ave
Fairfield, IA 52556
Phone (319) 293-3635

709 1st St
Keosauqua, IA 52565
Phone (319) 293-3635

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1104307123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21545 170TH ST",
            "city": "BIRMINGHAM",
            "state": "IA",
            "postal_code": "525358044",
            "telephone_number": "641-919-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E ADAMS AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563461",
            "telephone_number": "319-293-3635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 N Highway 1",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "IA",
            "postal_code": "525357700",
            "country_code": "US",
            "telephone_number": "641-455-0636",
            "fax_number": "319-498-4246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33727 Route J40",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "IA",
            "postal_code": "526268024",
            "country_code": "US",
            "telephone_number": "641-455-0636",
            "fax_number": "319-498-4246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 4th St",
            "address_purpose": "LOCATION",
            "city": "Keosauqua",
            "state": "IA",
            "postal_code": "525651089",
            "country_code": "US",
            "telephone_number": "641-455-0636",
            "fax_number": "319-498-4246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14574 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Douds",
            "state": "IA",
            "postal_code": "525518170",
            "country_code": "US",
            "telephone_number": "641-455-0636",
            "fax_number": "319-498-4246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "SARA",
        "credential": "LMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, IA

Sources for this page

Verify at the official NPI Registry.