Individual provider Active NPI

Brandon Mitchell Jerred, MA, MFT

  • Marriage & Family Therapist
  • Boone, IA
National Provider Identifier
1972895969
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000327 Issued in IA
Practice address
105 S Marshall St
Boone, IA 50036-4899
Phone
(515) 432-7983
Fax
(515) 432-7657
NPI assigned
May 9, 2011
Last updated
May 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000327 IA Primary

Addresses

Primary practice location

105 S Marshall St
Boone, IA 50036-4899

Mailing address

105 S Marshall St
Boone, IA 50036-4899
Phone (515) 432-7983

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
I20260305002989 IA Practitioner - Marriage and Family Therapist 7719469931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

809 Elm St
Missouri Valley, IA 51555-1140
Phone (712) 642-2794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
000327IAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Health Community Memorial Hospital of Missouri Valley Iowa CurrentSince Mar 1, 2026 Accepting new patients
Alegent Health Community Memorial Hospital of Missouri Valley, Iowa CurrentSince Mar 1, 2026 Accepting new patients

Locations

809 Elm St
Missouri Vly, IA 51555
Phone (712) 642-2794

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": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1972895969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S MARSHALL ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500364899",
            "telephone_number": "515-432-7983",
            "fax_number": "515-432-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S MARSHALL ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500364899",
            "telephone_number": "515-432-7983",
            "fax_number": "515-432-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERRED",
        "first_name": "BRANDON",
        "middle_name": "MITCHELL",
        "name_prefix": "Mr.",
        "credential": "MA, MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-09",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "000327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, IA

Sources for this page

Verify at the official NPI Registry.