MRS. JENNIFER L PEDERSEN-COULTER LMHC
NPI 1336653484
Counselor - Mental Health in West Des Moines, IA

Active since November 28, 2017PECOS Enrolled
1045 76TH ST UNIT 3025, WEST DES MOINES, IA 50266(515) 218-8625 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 27, 2024, Mar 10, 2021, Nov 28, 2017 (3 updates tracked since 2017).

About Mrs. Jennifer L Pedersen-coulter Lmhc NPPES

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

MRS. JENNIFER L PEDERSEN-COULTER LMHC (NPI 1336653484) is an individual mental health provider in West Des Moines, Iowa, licensed in Iowa (001154) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Drake University College Of Medicine (2005).

NPPES Registry Identity

NPI1336653484
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JENNIFER L PEDERSEN-COULTERCredential: LMHC
Location Address1045 76TH ST UNIT 3025West Des Moines, IA 50266-5913
Mailing Address1045 76th St Unit 3025West Des Moines, IA 50266-5913 · (515) 218-8625
Sole ProprietorNo
Medical School CMSDrake University College Of MedicineGraduated 2005
Enumeration DateNovember 28, 2017
Last NPPES UpdateSeptember 27, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
✔ NPI 1336653484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IA · 001154
1045 76TH ST UNIT 3025, West Des Moines, IA 50266

Other Names 1

Former Name (1)Jennifer Pedersen

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jennifer L Pedersen-coulter Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173098050
PECOS Enrollment IDI20260408001900
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Pedersen-coulter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
1045 76TH ST UNIT 3025
West Des Moines, IA 50266
  • Reassigned Medicare billing, Iowa enrollment

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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1045 76TH ST UNIT 3025
WEST DES MOINES, IA 50266
Counselor (Mental Health)
1045 76TH ST UNIT 3025
WEST DES MOINES, IA 50266
Social Worker (Clinical)
1045 76TH ST UNIT 3025
WEST DES MOINES, IA 50266
Counselor (Mental Health)
1045 76TH ST UNIT 3025
WEST DES MOINES, IA 50266

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 Jennifer Pedersen-coulter's NPI number?

The NPI number for Jennifer Pedersen-coulter is 1336653484. It was assigned to this individual provider in the NPPES registry on November 28, 2017. The provider is also known as Jennifer Pedersen.

Where is Jennifer Pedersen-coulter located?

Jennifer Pedersen-coulter practices at 1045 76th St Unit 3025, West Des Moines, IA 50266. The listed phone number is (515) 218-8625.

What is Jennifer Pedersen-coulter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jennifer Pedersen-coulter enrolled in Medicare?

Yes. Jennifer Pedersen-coulter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Pedersen-coulter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Pedersen-coulter reassigns Medicare benefits to Elevated Minds, LLC (West Des Moines, IA). The 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 Jennifer Pedersen-coulter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Pedersen-coulter accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 3 other insurers list Jennifer Pedersen-coulter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Pedersen-coulter was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.