Provider Demographics
NPI:1427453448
Name:JASPERS, KELSI (LMHC, IADC)
Entity type:Individual
Prefix:
First Name:KELSI
Middle Name:
Last Name:JASPERS
Suffix:
Gender:F
Credentials:LMHC, IADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 193
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:IA
Mailing Address - Zip Code:50441-0193
Mailing Address - Country:US
Mailing Address - Phone:319-464-4654
Mailing Address - Fax:
Practice Address - Street 1:123 1ST AVE SW
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:IA
Practice Address - Zip Code:50441-2102
Practice Address - Country:US
Practice Address - Phone:319-464-4654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-03
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA14079101YA0400X
IA084906101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)