Healthcare Provider Details

I. General information

NPI: 1992681266
Provider Name (Legal Business Name): RACHEL JAHNCKE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 N JOHN WAYNE DR
WINTERSET IA
50273-1501
US

IV. Provider business mailing address

216 56TH ST
DES MOINES IA
50312-2152
US

V. Phone/Fax

Practice location:
  • Phone: 515-462-5967
  • Fax: 515-462-5981
Mailing address:
  • Phone: 515-988-9487
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number140806
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: