Sarah Sue Jepperson, TCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

T22174 Issued in IA

Practice address

703 N Main St Ste 1
Charles City, IA 50616-2126

Phone

(641) 228-1477

Fax

(641) 228-1468

NPI assigned

Oct 24, 2022

Last updated

Oct 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prairie Ridge Integrated Behavioral Healthcare

  dba Prairie Ridge

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mason City, IA
  • NPI 1801637061
  NPD (past)

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1699492371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MAPLE ST",
            "city": "NASHUA",
            "state": "IA",
            "postal_code": "506589260",
            "telephone_number": "641-229-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 N MAIN ST STE 1",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506162126",
            "telephone_number": "641-228-1477",
            "fax_number": "641-228-1468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 N Eisenhower Ave",
            "address_purpose": "LOCATION",
            "city": "Mason City",
            "state": "IA",
            "postal_code": "504011521",
            "country_code": "US",
            "telephone_number": "641-424-2391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEPPERSON",
        "first_name": "SARAH",
        "middle_name": "SUE",
        "credential": "TCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "T22174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T22174",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodi Lynn Heyer, PA C
• Hometown Dental, Inc.
• Hy-Vee Inc (Hy0Vee Pharmacy (1074))
• Iarc CC, LLC (Apple Valley Place)
• Melissa Marie Jenkins, PHARM. D
• Lorne Allen Johnson, PSYD
• Thomas Joseph Kafka, MD
• James Matthew Keane, TCADC
• Kayla Anne Kellogg, DNP
• Kenneth J. Sheckler, D.D.S.,P.C.

• Addiction (Substance Use Disorder) Counselor in Charles City, IA
• Providers in Charles City, IA by specialty
• Addiction (Substance Use Disorder) Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.