Individual provider Active NPI

Jenise Elizabeth Rychnovsky, LMHC

  • Mental Health Counselor
  • Johnston, IA
National Provider Identifier
1669728606
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001255 Issued in IA
Practice address
5415 NW 88TH St
Suite 100
Johnston, IA 50131-2950
Phone
(515) 727-1338
Fax
(515) 727-1340
NPI assigned
Jul 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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 001255 IA Primary

Addresses

Primary practice location

5415 NW 88TH St
Suite 100
Johnston, IA 50131-2950

Mailing address

418 6TH Ave
Unit 1102
Des Moines, IA 50309-2407
Phone (515) 988-7282

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

State licenses

LicenseStateTypeSpecialty
001255IAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1669728606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 6TH AVE",
            "address_2": "UNIT 1102",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503092407",
            "telephone_number": "515-988-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 NW 88TH ST",
            "address_2": "SUITE 100",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312950",
            "telephone_number": "515-727-1338",
            "fax_number": "515-727-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYCHNOVSKY",
        "first_name": "JENISE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.