Jennifer Haidar

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

100931 Issued in IA

Practice address

6200 Aurora Ave Ste 305E
Urbandale, IA 50322-2863

Phone

(515) 306-4590

NPI assigned

Sep 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

New Hope Counseling Coaching and Consulting PCGroup PAC ID 5890134050, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• New Hope Counseling, Coaching & Consulting P.C.

  dba New Hope Healing

  • Mental Health Counselor
  • Urbandale, IA
  • NPI 1477719268

  Clinical

  Medicare reassignment Care Compare group NPD
• Roseroot Counseling and Consulting, LTD.

  • Clinical Social Worker
  • Des Moines, IA
  • NPI 1932810868
  Medicare reassignment NPD Authorized official
• Mosaic Family Counseling Center, Inc.

  • Mental Health Counselor
  • Urbandale, IA
  • NPI 1417103649
  NPD

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1508472044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 52ND PL",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652897",
            "telephone_number": "151-530-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 AURORA AVE STE 305E",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503222863",
            "telephone_number": "515-306-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDAR",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "100931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guided Ascent
• Guiding Hearts Home Care
• Tyler Guzzo
• Alexia Hadaway, DO
• Judith Marie Hager, NP
• Brody Paul Hala, ATC, LAT
• Morgan Danielle Halbur, MOT, OTR/L
• Rhonda Haler
• James Robert Liston Hall, MD
• Mandy Janel Halling Roush, DC

• Clinical Social Worker in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.