Jessica Nicole Miller-Lange, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

223 S Walnut Ave
Ames, IA 50010-6974

Phone

(515) 233-1122

NPI assigned

Jul 26, 2019

Last updated

Mar 15, 2021By 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

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.

• WR Jacobs Enterprises, LLC

  dba Central Iowa Family Institute

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ankeny, IA
  • NPI 1104519065
  Medicare reassignment NPD
• Integrative Counseling Solutions Inc.

  dba Central Iowa Psychological Services

  • Community/Behavioral Health Agency
  • West Des Moines, IA
  • NPI 1942437231
  NPD (past)

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1538713656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MONROE ST N",
            "city": "HAZLETON",
            "state": "IA",
            "postal_code": "506419709",
            "telephone_number": "319-283-8080"
        },
        {
            "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": "515-233-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER-LANGE",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren E Mickelson
• Mid Iowa Community Action, Inc
• Midwest Ames LLC (The Waterford at Ames)
• Kristin Rachel Mientkiewicz, DPT
• Leo Anthony Milleman, M.D.
• Hannah Marie Miller
• Jacob Matthew Miller, CRNA
• Nicole Maxine Miller
• Pauline Miller, MD
• Victor Jerome Miller, ATC

• Psychologist in Ames, IA
• Providers in Ames, IA by specialty
• Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.