Individual provider Active NPI

Jillian A Dossett, LMSW

  • Counselor
  • Sparta, MI
National Provider Identifier
1174399083
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6801115790 Issued in MI
Practice address
456 Tentree St
Sparta, MI 49345-1438
Phone
(563) 340-8902
NPI assigned
Dec 1, 2023
Last updated
Dec 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6801115790 MI Primary

Addresses

Primary practice location

456 Tentree St
Sparta, MI 49345-1438

Mailing address

456 Tentree St
Sparta, MI 49345-1438
Phone (563) 340-8902

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250908002225 IA Practitioner - Clinical Social Worker 9537661657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 233
Grundy Center, IA 50638

PO Box
Suite 233
Grundy Center, IA 50638-0233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801115790MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Solutions CurrentSince Aug 4, 2025 Accepting new patients

Locations

4923 Lincoln Way
Ames, IA 50014
Phone (515) 418-6449

1630 42nd St NE
Ste F
Cedar Rapids, IA 52402
Phone (319) 261-1379

2208 E 52nd St
Davenport, IA 52807
Phone (515) 975-8636

2208 E 52nd St
Unit 2
Davenport, IA 52807

626 G Ave
Grundy Center, IA 50638
Phone (319) 239-8522

100 1st St NE
Mason City, IA 50401
Phone (515) 421-9969

227 E San Marnan Dr
Waterloo, IA 50702
Phone (563) 500-9993

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1174399083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 TENTREE ST",
            "city": "SPARTA",
            "state": "MI",
            "postal_code": "493451438",
            "telephone_number": "563-340-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 TENTREE ST",
            "city": "SPARTA",
            "state": "MI",
            "postal_code": "493451438",
            "telephone_number": "563-340-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSSETT",
        "first_name": "JILLIAN",
        "middle_name": "A",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6801115790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, MI

Sources for this page

Verify at the official NPI Registry.