Individual provider Active NPI

Jean Lumsden, C.R.C., L.M.F.T.

  • Counselor
  • Jefferson, IA
National Provider Identifier
1487872719
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
042114 Issued in IA
Practice address
115 E Lincolnway St Ste 340
Jefferson, IA 50129-2146
Phone
(712) 830-2545
Fax
(712) 659-3867
NPI assigned
Apr 23, 2007
Last updated
Aug 4, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 042114 IA Primary
Marriage & Family Therapist 106H00000X 000299 IA

Addresses

Primary practice location

115 E Lincolnway St Ste 340
Jefferson, IA 50129-2146

Mailing address

410 Arizona St
Glidden, IA 51443-1021
Phone (712) 830-2545

Other identifiers 1

IdentifierTypeStateIssuer
042114OtherIAC.R.C. NO.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
042114IAMDCounselor
000299IAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Private Victories Counseling Services, LLC Marriage & Family Therapist Past 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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1487872719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 ARIZONA ST",
            "city": "GLIDDEN",
            "state": "IA",
            "postal_code": "514431021",
            "telephone_number": "712-830-2545",
            "fax_number": "712-659-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E LINCOLNWAY ST STE 340",
            "city": "JEFFERSON",
            "state": "IA",
            "postal_code": "501292146",
            "telephone_number": "712-830-2545",
            "fax_number": "712-659-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMSDEN",
        "first_name": "JEAN",
        "credential": "C.R.C., L.M.F.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IA",
            "license": "042114",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "000299",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "C.R.C. NO.",
            "identifier": "042114",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.