Kathleen Lynn Gillespie-Jensen, MA, MS, TLMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

089612 Issued in IA

Practice address

215 E Washington St
Clarinda, IA 51632-1625

Phone

(712) 542-3501

Fax

(712) 542-4725

NPI assigned

Dec 8, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psychiatric Associates of Iowa, PCGroup PAC ID 9638550544, 50 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Master of Science

Practice roles

Locations

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.

• Psychiatric Associates of Iowa, PC

  dba Psychiatric Associates

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Liberty, IA
  • NPI 1568121457
  Medicare reassignment Care Compare group NPD
• Psychiatric Associates of Iowa, PC

  dba LifeWorks

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Liberty, IA
  • NPI 1720709074
  NPD
• Southwest Iowa Families Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clarinda, IA
  • NPI 1689762882
  NPD (past)

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512691200000",
    "number": "1144735465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N CENTER ST",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516011322",
            "telephone_number": "712-209-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E WASHINGTON ST",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516321625",
            "telephone_number": "712-542-3501",
            "fax_number": "712-542-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE-JENSEN",
        "first_name": "KATHLEEN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MA, MS, TLMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-08",
        "last_updated": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "089612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Five Star Quality Care Ia LLC (Westridge Quality Care & Rehab)
• Foot and Ankle Center of Nebraska, P.C. (Foot & Ankle Center of Nebraska)
• Natasha Marie Furst, PTA
• Talisha I Furst, ARNP
• Mary Anne Gibson, L.M.S.W.
• Andrea Gomez
• Anthony Christopher Grainger, PHARM.D.
• Hailly Brooke Greenough
• Trista Louise Grossnickle, PMHNP
• Danielle Jo Groves, RD, LD

• Mental Health Counselor in Clarinda, IA
• Providers in Clarinda, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.