Individual provider Active NPI

Jacquelyne Renae Joens, LMHC, NCC, MA

  • Mental Health Counselor
  • Urbandale, IA
National Provider Identifier
1679728679
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001126 Issued in IA
Practice address
3230 99TH St
Urbandale, IA 50322-3887
Phone
(515) 537-3030
NPI assigned
Nov 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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 001126 IA Primary

Addresses

Primary practice location

3230 99TH St
Urbandale, IA 50322-3887

Mailing address

3230 99TH St
Urbandale, IA 50322-3887
Phone (515) 537-3030

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
I20240423000802 IA Practitioner - Mental Health Counselor 8527407600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
New Hope Counseling Coaching and Consulting PCGroup PAC ID 5890134050, 13 clinicians

Practice addresses (Care Compare)

2540 106TH St
Suite 101
Urbandale, IA 50322-3736
Phone (515) 949-6918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
001126IAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Counseling, Coaching & Consulting P.C. Mental Health CurrentSince Mar 15, 2024 Accepting new patients

Locations

1370 NW 114th St
Ste 309
Clive, IA 50325
Phone (515) 949-6918

113 Avenue O W
Fort Dodge, IA 50501
Phone (515) 332-8154

4502 Avenue O
Ste 8
Fort Madison, IA 52627

3230 99th St
Urbandale, IA 50322
Phone (515) 270-0200

2540 106th St
Ste 101
Urbandale, IA 50322
Phone (515) 276-5543

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": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227052800000",
    "number": "1679728679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 99TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223887",
            "telephone_number": "515-537-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 99TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223887",
            "telephone_number": "515-537-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOENS",
        "first_name": "JACQUELYNE",
        "middle_name": "RENAE",
        "credential": "LMHC, NCC, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

Verify at the official NPI Registry.