Jourdan Van Wyk, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001290 Issued in IA

Practice address

11 E State St
Marshalltown, IA 50158-4938

Phone

(641) 752-2300

Fax

(641) 752-4768

NPI assigned

Apr 17, 2015

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/yss/r4/

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.

• Youth and Shelter Services, Inc.

  • Counselor
  • Ames, IA
  • NPI 1841357894

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429228800000",
    "number": "1962899898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 KELLOGG AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106226",
            "telephone_number": "515-233-3141",
            "fax_number": "515-233-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E STATE ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584938",
            "telephone_number": "641-752-2300",
            "fax_number": "641-752-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN WYK",
        "first_name": "JOURDAN",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unitypoint Health - Marshalltown
• Unitypoint Health-Marshalltown Lab
• Nancy Urbanowski
• Anna Vajgrt
• Jennifer Dawn Van Fosson-Roelfs, LMHC
• Stephen Francis Vanburen, M.D.
• Lance M. Vangundy, MD
• Milton J Vangundy, MD
• Bruce E Vircks, AUD
• Jordan Nicole Vollmer, DPT

• Mental Health Counselor in Marshalltown, IA
• Providers in Marshalltown, 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 Apr 17, 2015; 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.