Active NPI
Jessica Ann Hulst, M.A.
- Marriage & Family Therapist
- Rock Valley, IA
National Provider Identifier
1639372642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 000289
- Practice address
- 1905 10TH St
Rock Valley, IA 51247-1630 - Phone
- (712) 476-5245
- Fax
- (712) 476-9621
- NPI assigned
- Jun 7, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 000289 | IA | Primary |
Addresses
Primary practice location
1905 10TH St
Rock Valley, IA 51247-1630
Mailing address
1905 10TH St
PO Box 163
Rock Valley, IA 51247-1630
Phone (712) 476-5245
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000289 | IA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Living Center, P.C. | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639372642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 10TH ST",
"address_2": "PO BOX 163",
"city": "ROCK VALLEY",
"state": "IA",
"postal_code": "512471630",
"telephone_number": "712-476-5245",
"fax_number": "712-476-9621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 10TH ST",
"city": "ROCK VALLEY",
"state": "IA",
"postal_code": "512471630",
"telephone_number": "712-476-5245",
"fax_number": "712-476-9621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULST",
"first_name": "JESSICA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IA",
"license": "000289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Valley, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.