Jennifer Dawn Van Fosson-Roelfs, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

00681 Issued in IA

Practice address

PO Box 937
Marshalltown, IA 50158-0937

Phone

(641) 352-7000

NPI assigned

Nov 6, 2006

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

Specialty

Mental Health Counselor

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Talkspace Provider Network PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1639814049

  IA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1326127515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 N 4TH AVE E",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502082227",
            "telephone_number": "641-521-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 937",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501580937",
            "telephone_number": "641-352-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2190 NW 82nd St",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Clive",
            "state": "IA",
            "postal_code": "503255583",
            "country_code": "US",
            "telephone_number": "515-334-9484",
            "fax_number": "515-334-9498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN FOSSON-ROELFS",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unitypoint Health - Marshalltown
• Unitypoint Health - Marshalltown
• Unitypoint Health-Marshalltown Lab
• Nancy Urbanowski
• Anna Vajgrt
• Jourdan Van Wyk, LMHC
• Stephen Francis Vanburen, M.D.
• Lance M. Vangundy, MD
• Milton J Vangundy, MD
• Bruce E Vircks, AUD

• Mental Health Counselor in Marshalltown, IA
• Providers in Marshalltown, 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 Mar 17, 2018; 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.