Individual provider Active NPI

Jennifer L. Schmitz-Kruse, LMHC

  • Mental Health Counselor
  • Adel, IA
National Provider Identifier
1649509597
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00861 Issued in IA
Practice address
309 S 7TH St Ste C
Adel, IA 50003-1838
Phone
(515) 993-1919
Fax
(515) 993-1922
NPI assigned
Dec 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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 00861 IA Primary

Addresses

Primary practice location

309 S 7TH St Ste C
Adel, IA 50003-1838

Mailing address

309 S 7TH St Ste C
Adel, IA 50003-1838
Phone (515) 993-1919

Other names 1

  • Jennifer Kruse Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240224000462 IA Practitioner - Mental Health Counselor 6901241496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

309 S 7TH St
Suite C
Adel, IA 50003-1838
Phone (515) 993-1919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Kruse, M.a., LMHC, PLLC Mental Health CurrentSince Dec 13, 2023 Accepting new patients

Locations

309 S 7th St
Ste C
Adel, IA 50003
Phone (515) 993-1919

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": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1649509597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S 7TH ST STE C",
            "city": "ADEL",
            "state": "IA",
            "postal_code": "500031838",
            "telephone_number": "515-993-1919",
            "fax_number": "515-993-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S 7TH ST STE C",
            "city": "ADEL",
            "state": "IA",
            "postal_code": "500031838",
            "telephone_number": "515-993-1919",
            "fax_number": "515-993-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITZ-KRUSE",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-23",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KRUSE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Adel, IA

Sources for this page

Verify at the official NPI Registry.