Jennifer L Streets, LCPC, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001200 Issued in IA

Practice address

215 6TH Ave S Ste 25
Clinton, IA 52732-4347

Phone

(563) 242-9210

Fax

(563) 243-0730

NPI assigned

Jan 9, 2009

Last updated

Feb 22, 2021By 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 2

Addresses

Other names 1

• Jennifer L Streets Wood Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

• Healing Place, L.L.C.

  • Psychiatric Residential Treatment Facility
  • Clinton, IA
  • NPI 1558536524
  NPD

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1770720088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 HILLANDALE DR",
            "city": "MORRISON",
            "state": "IL",
            "postal_code": "612702017",
            "telephone_number": "309-507-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 6TH AVE S STE 25",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527324347",
            "telephone_number": "563-242-9210",
            "fax_number": "563-243-0730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3841 Utica Ridge Road",
            "address_purpose": "LOCATION",
            "city": "Bettendorf",
            "state": "IA",
            "postal_code": "527220000",
            "country_code": "US",
            "telephone_number": "309-507-1791",
            "fax_number": "309-659-7807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4620 E 53rd St Ste 222",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528073627",
            "country_code": "US",
            "telephone_number": "309-507-1791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STREETS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "LCPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-09",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001200",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "STREETS WOOD",
            "middle_name": "L",
            "credential": "LCPC, LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leela Stevens
• Kristen Marie Stevenson, DPT
• Jessica Stiefer, SLP
• Brandy Stinson
• Jacionna Stowers
• Steve R. Struble, PHARM. D.
• Kevin Leopold Strunk, LMSW
• Wanda Strunk, LMSW
• Jodi Subcliff
• Kiely R Suhr, NCC

• Mental Health Counselor in Clinton, IA
• Providers in Clinton, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.