WR Jacobs Enterprises, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WR JACOBS ENTERPRISES, LLC

Practice address

806 NE Lowell Dr
Ankeny, IA 50021-2090

Phone

(515) 509-0219

NPI assigned

May 29, 2023

Organization subpart

No

Name

Dr. Warren R JacobsNPI 1629530522

Title

Owner, Licensed Family Therapist

Phone

(515) 509-0219

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Warren Rupert Jacobs, LMFT

  • Marriage & Family Therapist
  • Des Moines, IA
  • NPI 1629530522

  IA

  Medicare reassignment Care Compare group NPD Authorized official
• Joshua John Krueger, LISW

  • Clinical Social Worker
  • Perry, IA
  • NPI 1407470487

  IA

  Medicare reassignment Care Compare group NPD
• Hermina Kwangsa Tandia, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Ankeny, IA
  • NPI 1871366468

  IA

  Medicare reassignment Care Compare group NPD
• Warren H Phillips, PH, D.

  • Psychologist
  • Minneapolis, MN
  • NPI 1083705917

  IA

  Medicare reassignment Care Compare group NPD
• Amanda L Bocock, LMFT

  • Marriage & Family Therapist
  • Des Moines, IA
  • NPI 1831430628

  IA

  Medicare reassignment NPD
• Haris Kovacevic, LMSW

  • Clinical Social Worker
  • Ankeny, IA
  • NPI 1609741412

  IA

  Medicare reassignment NPD
• Jessica Nicole Miller-Lange, PSYD

  • Psychologist
  • Ames, IA
  • NPI 1538713656

  IA

  Medicare reassignment NPD
• Robert A Doss, PHD

  • Clinical Psychologist
  • Ankeny, IA
  • NPI 1851028971
  NPD
• Angela Marie Ruiz, LMSW

  • Clinical Social Worker
  • Ankeny, IA
  • NPI 1366287914
  NPD

Medicare fee-for-service enrollment

Enrolled in IA

Locations

• Central Iowa Family Institute Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 29, 2023.

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685318400000",
    "number": "1104519065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 NE LOWELL DR",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500212090",
            "telephone_number": "515-509-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 NE LOWELL DR",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500212090",
            "telephone_number": "515-509-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WR JACOBS ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-27",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER, LICENSED FAMILY THERAPIST",
        "authorized_official_telephone_number": "515-509-0219",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Iowa Family Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Womens Counseling Center Inc
• Julia Woods, MS
• Nicholas Woolley
• Jordan Woolman, LISW
• William Edward Wortman, MD
• Patricia Yavitz, LMHC
• Scott Yegge
• Austin Yoakum, LMHC
• Brittany Yoakum
• Brooke Ashley Yossi, DDS

• All providers in Ankeny, IA
• Mental Health Clinic/Center (Including Community Mental Health Center) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.