Jennifer Therese Carpenter, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

115356 Issued in IA

Practice address

6000 Aurora Ave Ste B
Des Moines, IA 50322-2833

Phone

(515) 883-1776

Fax

(515) 883-2171

NPI assigned

Sep 29, 2022

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

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.

• Csa

  • Community/Behavioral Health Agency
  • West Des Moines, IA
  • NPI 1427390061

  IA

  Medicare reassignment NPD

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1154045565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 AURORA AVE STE B",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503222833",
            "telephone_number": "515-883-1776",
            "fax_number": "515-883-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 AURORA AVE STE B",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503222833",
            "telephone_number": "515-883-1776",
            "fax_number": "515-883-2171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5317 Colt Dr",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502666368",
            "country_code": "US",
            "telephone_number": "303-359-2167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "JENNIFER",
        "middle_name": "THERESE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "115356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Carmack, PA-C
• Brian Carmichael, RN
• Joseph John Carmicheal, MD, PHD
• Julie Carmody, MD
• Amanda Mae Carnahan
• Laura Rose Carpenter
• Debra A Carr, LMSW
• Kent Carr, MD
• Michael Glennon Carr, RPH
• Elizabeth A Carreon

• All providers in Des Moines, IA
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.