Active NPI
Jenissa Peart, TLHMC
- Mental Health Counselor
- Marshalltown, IA
National Provider Identifier
1811765464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2501 S Center St
Marshalltown, IA 50158-4562 - Phone
- (641) 753-1289
- NPI assigned
- Dec 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2501 S Center St
Marshalltown, IA 50158-4562
Mailing address
3007 S 14TH St
Marshalltown, IA 50158-4672
Other names 1
- Jenissa Johnston
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
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
260 33Rd Ave SW
Suite J
Cedar Rapids, IA 52404-4646
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace C Mae Advocate Center, Inc | Current | Accepting new patients | |
| Grace C Mae Advocate Center | Mental Health | Past | Accepting new patients |
Locations
2501 S Center St
Ste M
Marshalltown, IA 50158
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Cedar Rapids, IA
- NPI 1700018405
-
- Mental Health Counselor
- Marshalltown, IA
- NPI 1568827954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1811765464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3007 S 14TH ST",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501584672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 S CENTER ST",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501584562",
"telephone_number": "641-753-1289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEART",
"first_name": "JENISSA",
"name_prefix": "Mrs.",
"credential": "TLHMC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-13",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENISSA",
"last_name": "JOHNSTON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marshalltown, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.