Active NPI
Jennie Plummer, TLMHC
- Mental Health Counselor
- Ankeny, IA
National Provider Identifier
1124727532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 116840
- Practice address
- 2825 S Ankeny Blvd Ste 101
Ankeny, IA 50023-9417 - Phone
- (515) 207-9506
- NPI assigned
- Feb 24, 2023
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 116840 | IA | Primary |
Addresses
Primary practice location
2825 S Ankeny Blvd Ste 101
Ankeny, IA 50023-9417
Mailing address
2825 S Ankeny Blvd Ste 101
Ankeny, IA 50023-9417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 6, 2025 through Mar 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116840 | IA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1124727532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 S ANKENY BLVD STE 101",
"city": "ANKENY",
"state": "IA",
"postal_code": "500239417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 S ANKENY BLVD STE 101",
"city": "ANKENY",
"state": "IA",
"postal_code": "500239417",
"telephone_number": "515-207-9506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUMMER",
"first_name": "JENNIE",
"credential": "TLMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-24",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "116840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.