Jamie Renee McWade, LMHC, IADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001626 Issued in IA

Practice address

1912 Middle Rd
300B
Bettendorf, IA 52722-7600

Phone

(563) 275-6728

Fax

(563) 265-8088

NPI assigned

Jul 23, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lutheran Family ServiceGroup PAC ID 5193718237, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Lutheran Family Service

  • Voluntary or Charitable Agency
  • Fort Dodge, IA
  • NPI 1316059496
  Medicare reassignment Care Compare group NPD
• LC Jr., LLC

  • Mental Health Counselor
  • Bettendorf, IA
  • NPI 1720470362

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1679958334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 MIDDLE RD",
            "address_2": "300B",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527227600",
            "telephone_number": "563-275-6728",
            "fax_number": "563-265-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 MIDDLE RD",
            "address_2": "300B",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527227600",
            "telephone_number": "563-275-6728",
            "fax_number": "563-265-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWADE",
        "first_name": "JAMIE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LMHC, IADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001626",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "13040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark F McMullen, RPH
• Nancy McMullen, RPH
• Michelle McMurray, OTRL
• Lee Douglas McNaughton, DC
• Linda Louise McNeill, SPEECH PATHOLOGIST
• Medicx Trans LLC
• Michelle D Mehrens, LMSW
• Falguni N. Mehta, M.D.
• Nilesh R. Mehta, M.D.
• Nathan C Meloy, D.O.

• Mental Health Counselor in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.