Individual provider Active NPI

Jennifer Lynn Brost, MA, NCC, LMHC

  • Mental Health Counselor
  • Cedar Falls, IA
National Provider Identifier
1821346099
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001552 Issued in IA
Practice address
2800 Orchard Dr Ste B
Cedar Falls, IA 50613-5898
Phone
(319) 464-2389
NPI assigned
Aug 20, 2012
Last updated
Jun 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 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 001552 IA Primary

Addresses

Primary practice location

2800 Orchard Dr Ste B
Cedar Falls, IA 50613-5898

Mailing address

2800 Orchard Dr Ste B
Cedar Falls, IA 50613-5898
Phone (319) 464-2389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240227000304 IA Practitioner - Mental Health Counselor 9537504832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2800 Orchard Dr
Suite B
Cedar Falls, IA 50613-5898
Phone (319) 464-2389

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
001552IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Potential Counseling & Consultation Services LLC Mental Health CurrentSince Jan 1, 2024 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": "1345420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1821346099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 ORCHARD DR STE B",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506135898",
            "telephone_number": "319-464-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 ORCHARD DR STE B",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506135898",
            "telephone_number": "319-464-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROST",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "MA, NCC, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-20",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

Verify at the official NPI Registry.