JOEL ROBERT JORGENSON – Mental Health Counselor, NPI 1871468025

JOEL ROBERT JORGENSON is a healthcare provider. based in Ankeny, Iowa. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 121451 (IA). The NPI Number for JOEL ROBERT JORGENSON is 1871468025

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
JOEL ROBERT JORGENSON
NPI
1871468025
Phone
(712) 209-0788
Address
1614 NW LINWOOD DR
Enumeration Date
8 October 2025
Last Update Date
8 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5155998904
Graduation Year
2023 (3 years ago)
PAC ID
4880184449
Group Practice PAC ID
7214455732
Professional Enrollment ID
I20251104000172
Address ID
IA500145534AM4720XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

630 MENTAL HEALTH COUNSELOR in IA

Provider Addresses for JOEL ROBERT JORGENSON

  • 1614 NW LINWOOD DR

    ANKENY, IA 500231085

    Phone: (712) 209-0788

    Type: Mailing

  • 4720 MORTENSEN RD STE 101

    AMES, IA 500145534

    Phone: (515) 599-8904

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251104000172IMental Health CounselorIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50023)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214455732View full group profile
NameSpecialtyState
Clinical Social WorkerIA
Mental Health CounselorIA
Marriage And Family TherapistIA
Mental Health CounselorIA
Clinical PsychologistIA
Clinical Social WorkerIA
Clinical Social WorkerIA
Clinical Social WorkerIA
Mental Health CounselorIA

Reviews

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Frequently asked questions

How do payers reference JOEL ROBERT JORGENSON?
For JOEL ROBERT JORGENSON, use NPI 1871468025 as the unique 10-digit identifier.
Is JOEL ROBERT JORGENSON still an active registrant?
JOEL ROBERT JORGENSON carries an active NPI according to the public dataset.
What expertise is attributed to JOEL ROBERT JORGENSON?
JOEL ROBERT JORGENSON's specialty line reads Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is JOEL ROBERT JORGENSON located near Ankeny?
JOEL ROBERT JORGENSON currently maps to Ankeny, Iowa in this extract.
Can I trust this NPI listing for JOEL ROBERT JORGENSON?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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