Jeremy Koerselman, LISW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

111 Arizona Ave NW
Orange City, IA 51041-1425

Phone

(712) 737-9444

NPI assigned

Sep 3, 2008

Last updated

Apr 29, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• All Things New Therapy Services Inc.

  • Community/Behavioral Health Agency
  • Orange City, IA
  • NPI 1972992659
  NPD (past) Authorized official

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1578711594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ARIZONA AVE NW",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411425",
            "telephone_number": "712-737-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ARIZONA AVE NW",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411425",
            "telephone_number": "712-737-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOERSELMAN",
        "first_name": "JEREMY",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joiner and Zwart Dental Partnership
• Jeffrey Dale Joiner, D.D.S.
• Michael Allen Jurgens, MD
• Lee A Kamstra, M.D.
• Jennie Karnish, LMHC
• Jacey Koethe
• Christin Konz
• Korver Ear Nose & Throat, LLC
• Kurtis David Korver, MD
• Kimber Krosschell, FDN-P

• Mental Health Counselor in Orange City, IA
• Providers in Orange City, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.