Individual provider Active NPI

Jacob Donavon Schaefer, L.M.H.C.

  • Mental Health Counselor
  • Cedar Falls, IA
National Provider Identifier
1801199617
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001292 Issued in IA
Practice address
4521 Chadwick Rd Ste 2
Cedar Falls, IA 50613-8045
Phone
(319) 239-3533
Fax
(888) 972-4788
NPI assigned
Dec 16, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 001292 IA Primary

Addresses

Primary practice location

4521 Chadwick Rd Ste 2
Cedar Falls, IA 50613-8045

Mailing address

4521 Chadwick Rd Ste 2
Cedar Falls, IA 50613-8045
Phone (319) 239-3533

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

State licenses

LicenseStateTypeSpecialty
001292IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Valley Counseling Services LLC Mental Health CurrentSince Jun 30, 2026 Accepting new patients

Locations

4521 Chadwick Rd
Ste 2
Cedar Falls, IA 50613
Phone (319) 239-3533

118 E 18th St
Cedar Falls, IA 50613
Phone (319) 242-7642

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1801199617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 CHADWICK RD STE 2",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506138045",
            "telephone_number": "319-239-3533",
            "fax_number": "888-972-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4521 CHADWICK RD STE 2",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506138045",
            "telephone_number": "319-239-3533",
            "fax_number": "888-972-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "JACOB",
        "middle_name": "DONAVON",
        "credential": "L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-16",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

Verify at the official NPI Registry.