Individual provider Active NPI

Jenissa Peart, TLHMC

  • Mental Health Counselor
  • Marshalltown, IA
National Provider Identifier
1811765464
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Dec 13, 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 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 Former name

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.

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

OrganizationSpecialtyStatusNew patients
Grace C Mae Advocate Center, Inc CurrentSince May 23, 2026 Accepting new patients
Grace C Mae Advocate Center Mental Health PastSince Dec 17, 2023 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.

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

Verify at the official NPI Registry.