Individual provider Active NPI

Jenna Frieden

  • Social Worker
  • West Des Moines, IA
National Provider Identifier
1447742309
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
090740 Issued in IA
Practice address
3737 Woodland Ave Ste 415
West Des Moines, IA 50266-1937
Phone
(515) 222-1999
NPI assigned
Jun 5, 2018
Last updated
Jan 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 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 090740 IA Primary

Addresses

Primary practice location

3737 Woodland Ave Ste 415
West Des Moines, IA 50266-1937

Mailing address

3737 Woodland Ave Ste 415
West Des Moines, IA 50266-1937

Other names 1

  • Jenna Pattee Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 515-222-1999 Central Iowa Psychological Services

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210608003473 IA Practitioner - Clinical Social Worker 9638579972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
090740IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Counseling Solutions Inc. PastSince Nov 1, 2022 Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1447742309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 WOODLAND AVE STE 415",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 WOODLAND AVE STE 415",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661937",
            "telephone_number": "515-222-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDEN",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "090740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "515-222-1999",
            "affiliation": "Y",
            "affiliationName": "Central Iowa Psychological Services",
            "address_1": "3737 Woodland Ave Ste 415",
            "city": "West Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502661937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "PATTEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.