Jessica Rena Barnes, LICSW, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1011 Issued in NE

Practice address

1201 Arbor Drive
South Sioux City, NE 68776-6877

Phone

(712) 490-4398

NPI assigned

Mar 13, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Jessica Rena Grimsley Former name

Medicare fee-for-service enrollment

Enrolled in NE2 enrollments

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 2

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Heartland Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • South Sioux City, NE
  • NPI 1033292784

  NE

  Medicare reassignment NPD
• Heartland Counseling Services.Inc.

  • Community/Behavioral Health Agency
  • Wayne, NE
  • NPI 1306049424
  NPD

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1780959494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 355",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687760355",
            "telephone_number": "712-490-4398",
            "fax_number": "402-494-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 ARBOR DRIVE",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687766877",
            "telephone_number": "712-490-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "JESSICA",
        "middle_name": "RENA",
        "credential": "LICSW, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2023-04-12",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1453",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007194",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "GRIMSLEY",
            "middle_name": "RENA",
            "credential": "LICSW, LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Reagan Bahrke
• Esynce Bailey
• Hanima A Bakar
• Joni L. Ballinger, M.A. CCC-SLP
• Janet Marie Barber
• Geraldine Jessica Barragan
• Mickayla Barrett Rausch
• Lizeth Basilio
• Cecilia Bauer
• Emerlynne Bear Comes Out

• All providers in South Sioux City, NE
• Clinical Social Worker in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.