Jennifer J Iverson, ED.S., LPC, RPT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2011038225 Issued in MO

Practice address

2025 S Brentwood Blvd Ste 205
Saint Louis, MO 63144-1851

Phone

(314) 489-9287

NPI assigned

Sep 21, 2022

Last updated

Sep 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1336862788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7408 GRANBURY CIR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631232009",
            "telephone_number": "314-489-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 S BRENTWOOD BLVD STE 205",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441851",
            "telephone_number": "314-489-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERSON",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "credential": "ED.S., LPC, RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2011038225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jiversoncreativecounseling@gmail.com",
            "affiliation": "N",
            "endpointDescription": "jiversoncreativecounseling@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2025 S Brentwood Blvd Ste 205",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631441851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pranati Ivaturi, M.D.
• Shyam S Ivaturi, M.D.
• Renee A Ivens, PT
• Jessica Iver, ATC, LAT
• Whittney Renae Iver, FNP
• Kimberly Susan Iverson, MT-BC
• Virginia A Ives, LCSW, MSW,ACSW MAED,
• Marsha J Ivester
• David M Ivey, DDS
• Samuel James Ivey, PHARM.D.

• Professional Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.