Active NPI
Jordan K Plummer, LMFT
- Marriage & Family Therapist
- Ankeny, IA
National Provider Identifier
1619218468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 072141
- Practice address
- 501 SW Ankeny Rd
Ankeny, IA 50023-9702 - Phone
- (515) 289-2272
- Fax
- (515) 289-0126
- NPI assigned
- Mar 4, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 072141 | IA | Primary |
Addresses
Primary practice location
501 SW Ankeny Rd
Ankeny, IA 50023-9702
Mailing address
501 SW Ankeny Rd
Ankeny, IA 50023-9702
Phone (515) 289-2272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 30, 2024 through Jan 30, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072141 | IA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1619218468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 SW ANKENY RD",
"city": "ANKENY",
"state": "IA",
"postal_code": "500239702",
"telephone_number": "515-289-2272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 SW ANKENY RD",
"city": "ANKENY",
"state": "IA",
"postal_code": "500239702",
"telephone_number": "515-289-2272",
"fax_number": "515-289-0126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUMMER",
"first_name": "JORDAN",
"middle_name": "K",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IA",
"license": "072141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.