Individual provider Active NPI

Jessica Richter, LMHC

  • Mental Health Counselor
  • Atlantic, IA
National Provider Identifier
1942881040
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
105880 Issued in IA
Practice address
104 E 5TH St
Atlantic, IA 50022-1335
Phone
(712) 249-7054
NPI assigned
Apr 20, 2021
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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 105880 IA Primary

Addresses

Primary practice location

104 E 5TH St
Atlantic, IA 50022-1335

Mailing address

104 E 5TH St
Atlantic, IA 50022-1335
Phone (712) 249-7054

Other practice location 1

303 McKenzie Ave # A
Council Bluffs, IA 51503-1011
Phone (712) 986-7800

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
I20251114001023 IA Practitioner - Mental Health Counselor 8325539604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1404 E 10TH St
Atlantic, IA 50022-1955
Phone (712) 249-7054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105880IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nishna Valley Mental Health Mental Health CurrentSince Sep 28, 2025 Accepting new patients
Integrated Therapy Resources Mental Health CurrentSince Apr 1, 2021 Accepting new patients

Locations

104 E 5th St
Atlantic, IA 50022
Phone (712) 249-7054

1404 E 10th St
Atlantic, IA 50022
Phone (712) 243-5270

303 McKenzie Ave
Ste A
Council Bluffs, IA 51503
Phone (712) 249-5422

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, 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": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1942881040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E 5TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221335",
            "telephone_number": "712-249-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E 5TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221335",
            "telephone_number": "712-249-7054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 McKenzie Ave # A",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515031011",
            "country_code": "US",
            "telephone_number": "712-986-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHTER",
        "first_name": "JESSICA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "105880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic, IA

Sources for this page

Verify at the official NPI Registry.