Healthcare Provider Details

I. General information

NPI: 1811812951
Provider Name (Legal Business Name): JORDYN RETH COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 PAINE ST NE
BONDURANT IA
50035-1453
US

IV. Provider business mailing address

2320 PAINE ST NE
BONDURANT IA
50035-1453
US

V. Phone/Fax

Practice location:
  • Phone: 515-800-9535
  • Fax: 515-436-2507
Mailing address:
  • Phone: 515-800-9535
  • Fax: 515-436-2507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JORDYN RETH
Title or Position: OWNER/ MENTAL HEALTH THERAPIST
Credential: LISW
Phone: 515-800-9535