Healthcare Provider Details

I. General information

NPI: 1891444634
Provider Name (Legal Business Name): JAMIE MARIE SHEHAN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 01/03/2026
Certification Date: 01/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 4TH AVE
GRINNELL IA
50112-2042
US

IV. Provider business mailing address

817 4TH AVE
GRINNELL IA
50112-2042
US

V. Phone/Fax

Practice location:
  • Phone: 641-323-2729
  • Fax:
Mailing address:
  • Phone: 641-323-2729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number114473
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: