Individual provider Active NPI

Olivia Jackovin

  • Behavior Technician
  • Ames, IA
National Provider Identifier
1144110792
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1315 S Bell Ave Ste 108
Ames, IA 50010-7730
Phone
(515) 337-0343
NPI assigned
Jul 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

1315 S Bell Ave Ste 108
Ames, IA 50010-7730

Mailing address

5418 Mortensen Rd Unit 103
Ames, IA 50014-8490
Phone (515) 661-9956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Therapy Centers Behavior Technician CurrentSince Jul 13, 2025 Accepting new patients
KP Enterprises Iowa PastSince Jul 13, 2025 Accepting new patients

Locations

1315 S Bell Ave
Ste 108
Ames, IA 50010
Phone (515) 337-0343

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1144110792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5418 MORTENSEN RD UNIT 103",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500148490",
            "telephone_number": "515-661-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S BELL AVE STE 108",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500107730",
            "telephone_number": "515-337-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKOVIN",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.