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WAPSI VALLEY FAMILY COUNSELING, LLC
NPI 1194124297
Social Worker - Clinical in Masonville, IA

Active since August 14, 2014
805 CHARLES ST, MASONVILLE, IA 50654(319) 361-4867(563) 927-3939 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2025, Nov 22, 2024, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

About Wapsi Valley Family Counseling, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAPSI VALLEY FAMILY COUNSELING, LLC (NPI 1194124297) is a healthcare organization registered as a clinical in Masonville, Iowa and active in the NPI registry since August 2014. The organization maintains a secondary practice location in Independence and lists Jacquelyn Kay Goebel, Owner, as its authorized official.

NPPES Registry Identity

NPI1194124297
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWAPSI VALLEY FAMILY COUNSELING, LLC
Location Address805 CHARLES STMasonville, IA 50654-8516
Mailing Address805 Charles StMasonville, IA 50654-8516 · (319) 361-4867 · Fax (563) 927-3939
Phone(319) 361-4867
Fax(563) 927-3939
Organization SubpartNo
Authorized OfficialJacquelyn Kay GoebelOwner · (319) 361-4867
Enumeration DateAugust 14, 2014
Last NPPES UpdateApril 14, 20254 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
✔ NPI 1194124297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IA · 04543
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
805 CHARLES ST, Masonville, IA 50654
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Secondary Practice Location 1

Location 12300 Swan Lake Blvd Ste 201Independence, IA 50644-9708 · Phone (319) 361-4867 · Fax (563) 927-3939

Other Identifiers 1

Medicaid600931888IA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wapsi Valley Family Counseling, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wapsi Valley Family Counseling, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jacquelyn Schultz, LISW
Clinical Social Worker
NPI 1578876223
805 CHARLES ST
Masonville, IA 50654
(319) 361-4867
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wapsi Valley Family Counseling, LLC's NPI number?

The NPI number for Wapsi Valley Family Counseling, LLC is 1194124297. It was assigned to this organization in the NPPES registry on August 14, 2014.

Where is Wapsi Valley Family Counseling, LLC located?

Wapsi Valley Family Counseling, LLC is located at 805 Charles St, Masonville, IA 50654. The listed phone number is (319) 361-4867.

What is Wapsi Valley Family Counseling, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Wapsi Valley Family Counseling, LLC enrolled in Medicare?

Yes. Wapsi Valley Family Counseling, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wapsi Valley Family Counseling, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Wapsi Valley Family Counseling, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wapsi Valley Family Counseling, LLC was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.