Jason Sanders

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

107155 Issued in IA

Practice address

6600 Westown Pkwy Ste 240
West Des Moines, IA 50266-7714

Phone

(515) 402-4795

Fax

(515) 401-1086

NPI assigned

Nov 15, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 2, 2024 through Jan 2, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hemesath & Associates, LLC

  • Marriage & Family Therapist
  • West Des Moines, IA
  • NPI 1407107741
  NPD (past)

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1922873447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 WESTOWN PKWY STE 240",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667714",
            "telephone_number": "515-402-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 WESTOWN PKWY STE 240",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667714",
            "telephone_number": "515-402-4795",
            "fax_number": "515-401-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "JASON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "107155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samara Home Health Care and Interpretation Services LLC
• Kaung Myat San
• Jennifer Kay Sand, PH.D.
• Shannon Lynne Sandahl, LISW
• Catherine J Sandberg, DO
• Gretchen Larson Sandfort, MPT
• Sarah C Koenen Lisw LLC
• Sarah L Bowen, LLC
• James Joshua Sargent, MA, T-LMHC
• Eugene Michael Sarno, M.D.

• Mental Health Counselor in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.