Warren Rupert Jacobs, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

086474 Issued in IA

Practice address

1063 14TH PL Ste a
Des Moines, IA 50314-1245

Phone

(515) 235-5224

Fax

(866) 672-0706

NPI assigned

Apr 1, 2019

Last updated

Apr 1, 2019By 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

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

Specialty

Marriage and Family Therapist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

WR Jacobs Enterprises LLCGroup PAC ID 5991240947, 4 clinicians

Practice addresses (Care Compare)

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 Care Compare group NPD Authorized official
• Innovative Counseling & Consulting, Inc.

  • Mental Health Counselor
  • Des Moines, IA
  • NPI 1275873499
  NPD (past)

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1629530522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E 5TH ST",
            "city": "HUXLEY",
            "state": "IA",
            "postal_code": "501249465",
            "telephone_number": "515-509-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 14TH PL STE A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503141245",
            "telephone_number": "515-235-5224",
            "fax_number": "866-672-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "WARREN",
        "middle_name": "RUPERT",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "086474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry V Jackson Jr., LMHC
• Megan Elizabeth Jackson, MS
• Yolanda Jackson
• Alexandrea Marie Jacob, D.O.
• Tyler Charles Jacobs-Lewis, LMHC, LPCC, CCMHC
• Amy Jacobsen, LMSW
• Allison Jacobson, PHARMD
• Jeffrey Eric Jacobson, DO
• William C Jacobson, MD
• Melissa Jacoby, ARNP

• Marriage & Family Therapist in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Marriage & Family Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.