Individual provider Active NPI

Jennifer Jae Adams, LMHC

  • Mental Health Counselor
  • Waterloo, IA
National Provider Identifier
1902334725
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
083137 Issued in IA
Practice address
3362 University Ave
Waterloo, IA 50701-2006
Phone
(319) 235-6571
Fax
(319) 235-6028
NPI assigned
May 24, 2017
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 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 083137 IA Primary

Addresses

Primary practice location

3362 University Ave
Waterloo, IA 50701-2006

Mailing address

602 S Washington Ave
Fredericksburg, IA 50630-1003
Phone (563) 237-5300

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
I20231227001776 IA Practitioner - Mental Health Counselor 0446600811 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Behavioral Services Inc CurrentSince Jan 1, 2024 Accepting new patients
Pathways Behavioral Services Inc CurrentSince Jan 1, 2024 Accepting new patients
Pathways Behavioral Services, Inc. Past Accepting new patients

Locations

602 S Washington Ave
Fredericksburg, IA 50630
Phone (319) 235-6571

1827 1st St W
Ste C
Independence, IA 50644

2275 S Linn Ave
New Hampton, IA 50659
Phone (641) 394-2391

3362 University Ave
Waterloo, IA 50701
Phone (319) 235-6571

607 Sycamore St
Ste 300
Waterloo, IA 50703
Phone (319) 232-5363

111 10th St SW
Waverly, IA 50677
Phone (319) 235-6571

124 2nd St NE
Waverly, IA 50677
Phone (319) 344-4994

Organizations & group practices 3

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": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1902334725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 S WASHINGTON AVE",
            "city": "FREDERICKSBURG",
            "state": "IA",
            "postal_code": "506301003",
            "telephone_number": "563-237-5300",
            "fax_number": "563-237-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3362 UNIVERSITY AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507012006",
            "telephone_number": "319-235-6571",
            "fax_number": "319-235-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JENNIFER",
        "middle_name": "JAE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "083137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.