Jessica Tomke

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

091959 Issued in IA

Practice address

103 E State St Ste 301
Mason City, IA 50401-3309

Phone

(641) 421-2089

NPI assigned

Aug 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Goedken Former name

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

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 and National Provider Directory roles.

• Turning Leaf Counseling, Inc

  • Mental Health Counselor
  • Mason City, IA
  • NPI 1417367400
  Medicare reassignment NPD

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1619456282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E STATE ST STE 301",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E STATE ST STE 301",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013309",
            "telephone_number": "641-421-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMKE",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "091959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "GOEDKEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Trisha Lynn Tibbitts, ARNP
• Donell M Timpe, MD
• Michael Tinguely
• Stephanie Jo Tjaden, RPH
• Stephani Tobin, PT
• Hanna Nicole Townley
• Amanda Tran, MD
• Kristine Trask, DPT
• Stuart G. Trembath, MA
• Patrick Robert Trenary, D.C.

• Mental Health Counselor in Mason City, IA
• Providers in Mason 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 Aug 14, 2018; 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.