Provider Demographics
NPI:1134939838
Name:SCHAFER, JENNIFER JILL
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:JILL
Last Name:SCHAFER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 E 19TH ST N
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:IA
Mailing Address - Zip Code:50208-2508
Mailing Address - Country:US
Mailing Address - Phone:641-417-9486
Mailing Address - Fax:
Practice Address - Street 1:209 E 19TH ST N
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:IA
Practice Address - Zip Code:50208-2508
Practice Address - Country:US
Practice Address - Phone:641-417-9486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health