Andrea Judkins

Primary specialty

Social WorkerTaxonomy code 104100000X

License

108864 Issued in IA

Practice address

223 S Walnut Ave
Ames, IA 50010-6974

Phone

(515) 368-7504

NPI assigned

Jun 19, 2023

Last updated

May 29, 2025By 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 2

Addresses

Other names 1

• Andrea Leisinger 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

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.

• Mending Minds, LLC

  dba Walnut Creek Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Johnston, IA
  • NPI 1245833565

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1457036444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5408 NW 88TH ST STE 140",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312953",
            "telephone_number": "515-368-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 S WALNUT AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106974",
            "telephone_number": "515-368-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDKINS",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "108864",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "LEISINGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Gordon Jorgensen, DC
• Joel Robert Jorgenson
• Melissa Joshel, LISW
• Natali Jouzi, RDN
• Joyful Mind Institute, LLC (Joyful Mind Psychiatry)
• James E Judkins, LISW
• Sean A Juguilon, MD
• Kirsten L Just, MS
• Vivian Mabel Kahler
• Kai Lani Center for Creative Transformation and Psychotherapy

• Social Worker in Ames, IA
• Providers in Ames, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.