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JACKIE JENNINGS
NPI 1902513260
Counselor - Addiction (Substance Use Disorder) in Mt Pleasant, IA

Active since November 04, 2022PECOS Enrolled
122 N MAIN ST, MT PLEASANT, IA 52641(319) 385-2216 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jackie Jennings NPPES

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

JACKIE JENNINGS (NPI 1902513260) is an individual addiction (substance use disorder) provider in Mt Pleasant, Iowa and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1902513260
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJACKIE JENNINGS
Location Address122 N MAIN STMt Pleasant, IA 52641-2094
Mailing Address122 N Main StMt Pleasant, IA 52641-2094 · (319) 385-2216 · Fax (319) 753-0703
Phone(319) 385-2216
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 4, 2022
NPPES CertifiedNovember 4, 2022
✔ NPI 1902513260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
122 N MAIN ST, Mt Pleasant, IA 52641
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackie Jennings is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951897511
PECOS Enrollment IDI20260102002013
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.

Other Providers at the Same Location NPPES 5

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

ROCHELLE CARRIER-ELLISON
Counselor (Addiction (Substance Use Disorder))
122 N MAIN ST
MT PLEASANT, IA 52641
Henry County (319) 753-6567
ALCOHOL & DRUG DEPENDENCY SERVICES
Substance Abuse Rehabilitation Facility
122 N MAIN ST
MT PLEASANT, IA 52641
Henry County (319) 385-2216
NIONA BRUCE
Counselor (Addiction (Substance Use Disorder))
122 N MAIN ST
MOUNT PLEASANT, IA 52641
Henry County (319) 385-2216
KIMBERLY JO KERR ACADC
Counselor (Addiction (Substance Use Disorder))
122 N MAIN ST
MT PLEASANT, IA 52641
Henry County (319) 385-2216
MS. TAMMY HOPP BA
Counselor (Addiction (Substance Use Disorder))
122 N MAIN ST
MT PLEASANT, IA 52641
Henry County (319) 385-2216

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 Jackie Jennings's NPI number?

The NPI number for Jackie Jennings is 1902513260. It was assigned to this individual provider in the NPPES registry on November 4, 2022.

Where is Jackie Jennings located?

Jackie Jennings practices at 122 N Main St, Mt Pleasant, IA 52641. The listed phone number is (319) 385-2216.

What is Jackie Jennings's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Jackie Jennings enrolled in Medicare?

Yes. Jackie Jennings is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackie Jennings was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.