Active NPI
Jan Abendroth Counseling LLC
- Clinical Social Worker
- Johnston, IA
National Provider Identifier
1245092469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- JAN ABENDROTH COUNSELING LLC
- Practice address
- 6165 NW 86TH St # 2332
Johnston, IA 50131-2270 - Phone
- (515) 669-2522
- NPI assigned
- Jan 24, 2024
- Last updated
- Jan 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janet Abendroth, LISW
- Title
- Owner
- Phone
- (515) 669-2522
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
6165 NW 86TH St # 2332
Johnston, IA 50131-2270
Mailing address
6165 NW 86TH St # 2332
Johnston, IA 50131-2270
Phone (515) 669-2522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Johnston, IA
- NPI 1235229295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706054400000",
"number": "1245092469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6165 NW 86TH ST # 2332",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501312270",
"telephone_number": "515-669-2522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6165 NW 86TH ST # 2332",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501312270",
"telephone_number": "515-669-2522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAN ABENDROTH COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-24",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A",
"authorized_official_last_name": "ABENDROTH",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "515-669-2522",
"authorized_official_credential": "LISW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnston, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.