Jennifer Sue Jolly, PHD, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

077526 Issued in IA

Practice address

113 N John Wayne Drive
Winterset, IA 50273

Phone

(515) 462-5967

NPI assigned

Aug 19, 2015

Last updated

Feb 2, 2023By 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

Other names 1

• Jennifer Sue Livingston Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Turning Point Evaluation, Inc.

  • Counselor
  • Winterset, IA
  • NPI 1033589049

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD
• Turning Point Evaluation, Inc.

  • Counselor
  • Winterset, IA
  • NPI 1265812440

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1356717730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N JOHN WAYNE DRIVE",
            "city": "WINTERSET",
            "state": "IA",
            "postal_code": "50273",
            "telephone_number": "515-462-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N JOHN WAYNE DRIVE",
            "city": "WINTERSET",
            "state": "IA",
            "postal_code": "50273",
            "telephone_number": "515-462-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "JENNIFER",
        "middle_name": "SUE",
        "credential": "PHD, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "077526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LIVINGSTON",
            "middle_name": "SUE",
            "credential": "MS, LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Jahncke, MS, TLMHC
• James D. Elliott DDS PLLC
• Suzanne Jensen
• Dale Howard Johansen, CRNA, MSN, ARNP
• Emma Johnson, PA-C
• Amy Keller, PT
• William J Keul, D.D.S.
• Amy N. Kimball, DO
• Joseph M. Kimball, DO
• Jayci Laine Kuhns

• Mental Health Counselor in Winterset, IA
• Providers in Winterset, 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 Feb 2, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.