Active NPI
Jessica Soria
- Mental Health Counselor
- Mount Vernon, IA
National Provider Identifier
1740113158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 139271
- Practice address
- 104 2ND Ave N
Mount Vernon, IA 52314-1301 - Phone
- (319) 639-2266
- NPI assigned
- Jun 5, 2026
- Last updated
- Jun 5, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 139271 | IA | Primary |
Addresses
Primary practice location
104 2ND Ave N
Mount Vernon, IA 52314-1301
Mailing address
1016 Ontario St
Storm Lake, IA 50588-3137
Phone (712) 730-3464
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
| License | State | Type | Specialty |
|---|---|---|---|
| 139271 | IA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1740113158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1016 ONTARIO ST",
"city": "STORM LAKE",
"state": "IA",
"postal_code": "505883137",
"telephone_number": "712-730-3464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 2ND AVE N",
"city": "MOUNT VERNON",
"state": "IA",
"postal_code": "523141301",
"telephone_number": "319-639-2266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORIA",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-05",
"last_updated": "2026-06-05",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "139271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.