Individual provider Active NPI

Janzie Mason

  • Social Worker
  • Council Bluffs, IA
National Provider Identifier
1851150650
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
125260 Issued in IA
Practice address
300 W Broadway Ste 270
Council Bluffs, IA 51503-9028
Phone
(712) 256-7511
NPI assigned
Mar 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 23091 IA
Social Worker 104100000X 125260 IA Primary

Addresses

Primary practice location

300 W Broadway Ste 270
Council Bluffs, IA 51503-9028

Mailing address

1301 Jones St Ste 511
Omaha, NE 68102-3248

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

State licenses

LicenseStateTypeSpecialty
125260IAMDSocial Worker
23091IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Therapy Group, LLC Social Worker CurrentSince Sep 15, 2024 Accepting new patients
United Community Services, Inc. PastSince Mar 1, 2024 Accepting new patients

Locations

300 W Broadway
Ste 270
Council Bluffs, IA 51503
Phone (712) 256-7511

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": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1851150650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 JONES ST STE 511",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681023248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W BROADWAY STE 270",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515039028",
            "telephone_number": "712-256-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "JANZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "23091",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "125260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.