Healthcare Provider Details

I. General information

NPI: 1023974516
Provider Name (Legal Business Name): JADE SPIELMAN, LMFT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 LINN ST
DECORAH IA
52101-2753
US

IV. Provider business mailing address

105 COTTONWOOD DR
JAMESTOWN NC
27282-9468
US

V. Phone/Fax

Practice location:
  • Phone: 515-423-6456
  • Fax:
Mailing address:
  • Phone: 515-423-6456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: JADE SPIELMAN
Title or Position: THERAPIST
Credential: LMFT
Phone: 515-423-6456