Individual provider Active NPI

Jennifer Suzan Werger, MA L.M.H.C.

  • Mental Health Counselor
  • Urbandale, IA
National Provider Identifier
1609158609
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00218 Issued in IA
Practice address
7329 Canterbury Rd
Urbandale, IA 50322-4644
Phone
(515) 971-3977
Fax
(515) 263-0048
NPI assigned
Sep 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 00218 IA Primary

Addresses

Primary practice location

7329 Canterbury Rd
Urbandale, IA 50322-4644

Mailing address

7329 Canterbury Rd
Urbandale, IA 50322-4644
Phone (515) 971-3977

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
00218IAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1609158609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7329 CANTERBURY RD",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224644",
            "telephone_number": "515-971-3977",
            "fax_number": "515-263-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7329 CANTERBURY RD",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224644",
            "telephone_number": "515-971-3977",
            "fax_number": "515-263-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERGER",
        "first_name": "JENNIFER",
        "middle_name": "SUZAN",
        "name_prefix": "Ms.",
        "credential": "MA L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.