Individual provider Active NPI

Jennifer Dee Sacora, MA LMHC

  • Counselor
  • North Liberty, IA
National Provider Identifier
1770701252
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
00899 Issued in IA
Practice address
1290 Jordan St
North Liberty, IA 52317-8020
Phone
(319) 356-6352
Fax
(319) 358-2367
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 00899 IA Primary

Addresses

Primary practice location

1290 Jordan St
North Liberty, IA 52317-8020

Mailing address

1290 Jordan St
North Liberty, IA 52317-8020
Phone (319) 356-6352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
00899IAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Flanagan Obrien Mental Wellness PLLC CurrentSince Jul 15, 2026 Accepting new patients
Psychiatric Associates of Iowa, PC CurrentSince Sep 11, 2022 Accepting new patients
Psychiatric Associates of Iowa, PC CurrentSince Jul 24, 2022 Accepting new patients

Locations

2461 10th St
Ste 210
Coralville, IA 52241

2461 10th St
Ste 202
Coralville, IA 52241
Phone (319) 359-1558

1290 Jordan St
North Liberty, IA 52317
Phone (319) 356-6352

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770701252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 JORDAN ST",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178020",
            "telephone_number": "319-356-6352",
            "fax_number": "319-358-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 JORDAN ST",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178020",
            "telephone_number": "319-356-6352",
            "fax_number": "319-358-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACORA",
        "first_name": "JENNIFER",
        "middle_name": "DEE",
        "name_prefix": "Ms.",
        "credential": "MA LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IA",
            "license": "00899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

Verify at the official NPI Registry.