Individual provider Active NPI

Jennifer Ann Sheka, LMHC, CADC

  • Mental Health Counselor
  • Hiawatha, IA
National Provider Identifier
1871799437
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00326 Issued in IA
Practice address
1560 Boyson Rd Ste B
Hiawatha, IA 52233-2385
Phone
(319) 389-6791
Fax
(319) 294-6107
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 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 00326 IA Primary

Addresses

Primary practice location

1560 Boyson Rd Ste B
Hiawatha, IA 52233-2385

Mailing address

1560 Boyson Rd Ste B
Hiawatha, IA 52233-2385
Phone (319) 389-6791

Other identifiers 1

IdentifierTypeStateIssuer
1871799437OtherIA47-3692951

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
I20231227000757 IA Practitioner - Mental Health Counselor 2860842200 Practice locations: Hiawatha, IA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1560 Boyson Rd
Suite B
Hiawatha, IA 52233-2385
Phone (319) 389-6791

1560 Boyson Rd B
Hiawatha, IA 52233-2385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00326IAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1871799437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 BOYSON RD STE B",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332385",
            "telephone_number": "319-389-6791",
            "fax_number": "319-294-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 BOYSON RD STE B",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332385",
            "telephone_number": "319-389-6791",
            "fax_number": "319-294-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEKA",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMHC, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "47-3692951",
            "identifier": "1871799437",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, IA

Sources for this page

Verify at the official NPI Registry.