Organization Active NPI

Romans Ranch Inc.

  • Mental Health Counselor
  • Boone, IA
National Provider Identifier
1821667254
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ROMANS RANCH INC.
Practice address
2197 210TH St
Boone, IA 50036-7441
Phone
(515) 298-2202
NPI assigned
Jun 21, 2021
Last updated
Jul 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Danielle Dawn Andersen-Jeppesen
Title
Owner
Phone
(515) 298-2202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

2197 210TH St
Boone, IA 50036-7441

Mailing address

2197 210TH St
Boone, IA 50036-7441
Phone (515) 298-2202

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240705000829 IA Part B Supplier - Clinic/Group Practice 2062956725 Receives reassigned benefits from 1 practitioner
Practice locations: Boone, IA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1821667254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2197 210TH ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500367441",
            "telephone_number": "515-298-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2197 210TH ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500367441",
            "telephone_number": "515-298-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMANS RANCH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN-JEPPESEN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-298-2202"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.