Individual provider Active NPI

Jennifer R Nevins, MS, LMHC, NCC

  • Mental Health Counselor
  • Atlantic, IA
National Provider Identifier
1801428065
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
099339 Issued in IA
Practice address
808 E 7TH St
Atlantic, IA 50022-1805
Phone
(712) 352-0917
NPI assigned
Feb 6, 2020
Last updated
Jul 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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 099339 IA Primary

Addresses

Primary practice location

808 E 7TH St
Atlantic, IA 50022-1805

Mailing address

2782 110TH St
Elliott, IA 51532-5007
Phone (402) 212-6317

Other practice location 1

803 3rd Ave
Council Bluffs, IA 51501-4101
Phone (712) 352-0917

Other names 1

  • Jennifer Nevins Other name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
099339IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Therapy Center, LLC Mental Health PastSince Dec 3, 2018 Accepting new patients

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": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1801428065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2782 110TH ST",
            "city": "ELLIOTT",
            "state": "IA",
            "postal_code": "515325007",
            "telephone_number": "402-212-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 E 7TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221805",
            "telephone_number": "712-352-0917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515014101",
            "country_code": "US",
            "telephone_number": "712-352-0917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEVINS",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "MS, LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "099339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "NEVINS",
            "credential": "MS, LMHC, NCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlantic, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.