Joan Marie Iwen, MSE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4125 Issued in NE

Practice address

333 W Norfolk Ave Ste 201
Norfolk, NE 68701-5221

Phone

(402) 379-2030

Fax

(402) 379-3933

NPI assigned

Jan 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Cornsilk - Joan Iwen Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norfolk, NE
  • NPI 1821711284
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515715200000",
    "number": "1700394798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W NORFOLK AVE STE 201",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015221",
            "telephone_number": "402-379-2030",
            "fax_number": "402-379-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W NORFOLK AVE STE 201",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015221",
            "telephone_number": "402-379-2030",
            "fax_number": "402-379-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWEN",
        "first_name": "JOAN",
        "middle_name": "MARIE",
        "credential": "MSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ana Jacinto Lopez
• Heather Jackson
• Lacie Dea Jackson, PLADC
• Lillian Jackson
• Myla Rose Jackson, PLMHP

• Mental Health Counselor in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; 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.