Individual provider Active NPI

Jasmina Pajazetovic, LMHC, NCC

  • Mental Health Counselor
  • Waukee, IA
National Provider Identifier
1740888312
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
225 NE Dartmoor Dr Ste 300
Waukee, IA 50263-9665
Phone
(515) 650-2454
NPI assigned
Oct 15, 2020
Last updated
Oct 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X IA Primary

Addresses

Primary practice location

225 NE Dartmoor Dr Ste 300
Waukee, IA 50263-9665

Mailing address

225 NE Dartmoor Dr Ste 300
Waukee, IA 50263-9665
Phone (515) 650-2454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 10, 2025 through Dec 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivory Lotus Therapy Mental Health CurrentSince Oct 16, 2022 Accepting new patients

Locations

225 NE Dartmoor Dr
Ste 300
Waukee, IA 50263
Phone (515) 447-6539

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1740888312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 NE DARTMOOR DR STE 300",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502639665",
            "telephone_number": "515-650-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 NE DARTMOOR DR STE 300",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502639665",
            "telephone_number": "515-650-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAJAZETOVIC",
        "first_name": "JASMINA",
        "credential": "LMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukee, IA

Sources for this page

Verify at the official NPI Registry.