Individual provider Active NPI

Jessica Brase

  • Social Worker
  • West Des Moines, IA
National Provider Identifier
1205241809
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
072260 Issued in IA
Practice address
1200 Valley West Dr
West Des Moines, IA 50266-1908
Phone
(515) 599-5902
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 072260 IA Primary

Addresses

Primary practice location

1200 Valley West Dr
West Des Moines, IA 50266-1908

Mailing address

3941 56TH St
Des Moines, IA 50310-1835
Phone (515) 975-0058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2025 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Life Counseling & Consulting, LLC CurrentSince Sep 17, 2023 Accepting new patients

Locations

1200 Valley West Dr
Ste 704
West Des Moines, IA 50266
Phone (515) 602-4365

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1205241809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 56TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503101835",
            "telephone_number": "515-975-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 VALLEY WEST DR",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661908",
            "telephone_number": "515-599-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASE",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "072260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.