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JESSICA KAY SHIPMAN ACADC
NPI 1912274069
Counselor - Addiction (Substance Use Disorder) in Waverly, IA

Active since November 17, 2011PECOS Enrolled
111 10TH ST SW, WAVERLY, IA 50677(319) 352-1353(319) 352-2329 Get Directions Write a Review

NPPES record last updated: November 17, 2011. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Jessica Kay Shipman Acadc NPPES

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

JESSICA KAY SHIPMAN ACADC (NPI 1912274069) is an individual addiction (substance use disorder) provider in Waverly, Iowa and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1912274069
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJESSICA KAY SHIPMANCredential: ACADC
Location Address111 10TH ST SWWaverly, IA 50677-2925
Mailing Address2001 Teton DrWaterloo, IA 50701-9725 · (319) 352-1353 · Fax (319) 352-2329
Phone(319) 352-1353
Fax(319) 352-2329
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateNovember 17, 2011
✔ NPI 1912274069 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
111 10TH ST SW, Waverly, IA 50677
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Other Names 1

Former Name (1)Jessica Kay Thompson

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Kay Shipman Acadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416442850
PECOS Enrollment IDI20251223001062
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 20

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

MRS. AMANDA JOAN GESME LMHC, ATR-BC, NCC
Counselor (Mental Health)
111 10TH ST SW
WAVERLY, IA 50677
Bremer County (319) 352-2064
MS. AMBER JANE LACINA BSN, RN, MSN, APMHNP
Nurse Practitioner (Psychiatric/Mental Health)
111 10TH ST SW
WAVERLY, IA 50677
Bremer County (319) 352-1353
MS. LOIS A FINK LMHC
Counselor (Mental Health)
111 10TH ST SW
WAVERLY, IA 50677
Bremer County (319) 352-2064
PATHWAYS BEHAVIORAL SERVICES INC
Community/Behavioral Health
111 10TH ST SW
WAVERLY, IA 50677
Bremer County (319) 352-2064
CAM TURNER
Counselor (Addiction (Substance Use Disorder))
111 10TH ST SW
WAVERLY, IA 50677
Bremer County (319) 352-2064
ARUSHA AFZAL LMSW
Social Worker
111 10TH ST SW
WAVERLY, IA 50677
Bremer County (319) 352-2064
PATHWAYS BEHAVIORAL SERVICES INC
Substance Abuse Rehabilitation Facility
111 10TH ST SW
WAVERLY, IA 50677
Bremer County (319) 352-2064
MS. LESLIE A. MORRIS LMHC
Counselor (Mental Health)
111 10TH ST SW
WAVERLY, IA 50677
Bremer County (319) 352-2064

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 Jessica Shipman's NPI number?

The NPI number for Jessica Shipman is 1912274069. It was assigned to this individual provider in the NPPES registry on November 17, 2011. The provider is also known as Jessica Kay Thompson.

Where is Jessica Shipman located?

Jessica Shipman practices at 111 10th St SW, Waverly, IA 50677. The listed phone number is (319) 352-1353.

What is Jessica Shipman's specialty?

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

Is Jessica Shipman enrolled in Medicare?

Yes. Jessica Shipman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Shipman was last updated on November 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.