Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Julie Jack, LMFT

Individual provider Marriage & Family Therapist · NPI 1356105514

Julie Jack, LMFT is a Marriage and Family Therapist in Cedar Rapids, Iowa. Qualified in 2010, 16 years ago. Practices with Evergreen Therapy Center LLC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Iowa.

Years since qualifying
16
Licensed in
IA
In the registry since
2024
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

375 Collins Rd NE Ste 103
Cedar Rapids, IA 52402-3168
Phone: (319) 853-8762
Fax: (319) 249-6875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 106182 (IA)

Record details

NPI number1356105514
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT
Sole proprietorNo
NPI enumeratedFebruary 8, 2024
Last updated in NPPESFebruary 8, 2024
Certification dateFebruary 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Evergreen Therapy Center Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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