Jennifer received a bachelor’s degree in Human Services with a double minor in psychology and sociology from Buena Vista University. She pursued her passion for helping others by earning a Master of Social Work degree from the University of Iowa. Her educational background equips her with a comprehensive understanding of the social determinants of health and the impact they have on individuals’ well-being. As a collaborative, holistic, and strengths-based practitioner, Jennifer offers a range of mental health services to her patients. Her therapeutic approach incorporates techniques such as Motivational Interviewing, Cognitive Behavioral Therapy (CBT), and Dialectical Behavioral Therapy, tailored to meet the unique needs of each individual. Jennifer firmly believes in empowering her patients to become the authors of their own lives, highlighting their strengths and using various theoretical frameworks to support their growth. She is particularly sensitive to the cultural concerns and practices of her patients, ensuring that her interventions are respectful and inclusive.

Jennifer’s ultimate goal is to help her patients recognize and navigate the various contexts that shape their lives. By fostering a safe and healing environment, she encourages individuals to connect with their strengths and discover new ways to achieve wholeness. Her warm, non-judgmental, and open approach to therapy creates a space where patients can experience healing, growth, and the realization of their worth and potential as individuals.

Emily is a dual board certified psychiatric mental health nurse practitioner (PMHNP) and family nurse practitioner (FNP). She received her Bachelor of Arts in Nursing from Augustana University, Master of Science in Family Nurse Practitioner from Mount Marty University, and Post Masters Psychiatric Mental Health Nurse Practitioner from Mount Marty University.

As a dual certified nurse practitioner, I believe the best care addresses the whole person. Because mental and physical health are closely connected, I take a comprehensive approach that looks beyond symptoms to understand the factors that may be affecting your overall well-being.

In addition to diagnosing, treating, and managing mental health conditions; I consider whether underlying medical concerns may be contributing to symptoms. When appropriate, conditions such as thyroid disorders, iron deficiency, vitamin deficiencies, sleep apnea, hormonal changes, chronic medical conditions, and medication side effects are evaluated as they can influence mood, anxiety, energy, concentration, and sleep.

I care for individuals experiencing a wide range of conditions including anxiety disorders, depression, bipolar disorder, ADHD, PTSD, OCD, adjustment disorders, insomnia, autism, eating disorders, schizophrenia and other psychotic disorders, marijuana use disorder, nicotine use disorder, alcohol use disorder, and opioid use disorder. Treatment recommendations are tailored to individual needs and may include medication management, lifestyle modifications, coordination with your primary care or specialists, and recommendations for therapy or other supportive services.

I believe the best outcomes come from a collaborative partnership. My role is to listen, provide education and evidence-based recommendations, and work alongside you to develop a treatment plan that reflects your goals and supports both your mental and physical health. My hope is that you leave each visit feeling heard, informed, and empowered as we work together towards lasting wellness.

Rebecca Mangold is originally from Albert Lea, Minnesota. She holds a bachelor’s degree in Psychology and Spanish from Northwestern College and a master’s degree in Clinical Mental Health Counseling from the University of South Dakota.

With a focus on play therapy, Rebecca has honed her skills as a therapist, specializing in providing mental health support to children. Her experience includes serving as a Registered Play Therapist at Creative Living Center in Rock Valley and working with the MOC-Floyd Valley Community School District.

Outside of work, Rebecca enjoys activities such as walking, gardening, golfing, drawing, and spending time with her family and friends.

Rebecca’s commitment to mental health advocacy led her to join Promise Community Health Center in 2016 as a contracted therapist. Now, as a Mental Health Therapist, she brings her expertise as an LMHC and Registered Play Therapist to address the needs of the community, particularly focusing on supporting young children and Spanish-speaking families.

Ashley Tuvera grew up in Bloomfield, Iowa. In 2023, she and her family made the move to northwest Iowa after her husband accepted a job with Premier Communications. Ashley is excited to bring her passion for mental health to Promise Community Health Center as a Temporary Licensed Mental Health Counselor (T-LMHC).

Ashley’s journey into mental health counseling began long before she earned her degree from Buena Vista University in June 2023. With over a decade of experience working with children and families, she spent five years at Four Oaks as a Family Safety and Risk Permanency Provider and Family Team Decision-Making Meeting Facilitator, supporting struggling families across ten counties in southern Iowa. She also helped adolescents aging out of foster care build their futures as a Youth Transition Dream Team Meeting Facilitator. After that, she spent five years as a Social Emotional Learning Specialist at an elementary school, teaching social skills to young students and supporting classrooms with behavioral interventions.

Kailee Jenness grew up in Spirit Lake, Iowa, and first joined Promise Community Health Center in August 2021 after graduating from Northwestern College. She began her journey at Promise as a social worker, providing support, resources, and care coordination for patients facing a wide range of life challenges. During her time in this role, Kailee pursued and earned her Master of Social Work degree from the University of Northern Iowa with a specialization in Trauma.

Now serving as a Mental Health Therapist, Kailee offers compassionate, bilingual therapy services in both English and Spanish. Drawing from evidence-based approaches such as EMDR, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Somatic Experiencing Therapy, Kailee walks alongside patients in their journeys of healing and self-discovery. Her ability to offer accessible, in-person mental health support, especially for Spanish-speaking individuals, is a key part of her work and something she is deeply passionate about.

“I am thrilled to be able to serve patients in this new role as a therapist. I feel privileged to have the opportunity to support our community and patients in their life journeys and provide a space for patients to grow and heal. As a social worker, I was able to support a wide range of patients, but now as a mental health therapist, I look forward to diving deeper and supporting patients in new ways.”

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Michelle received her bachelor’s degree in Spanish Translation and Interpreting from Northwestern College in Orange City, Iowa. She then went on to become certified as a medical interpreter in Spanish by the National Board of Certification for Medical Interpreters (NBCMI). Michelle brings with her years of experience from interpreting in educational, community and medical settings. She is bilingual in English and Spanish and professionally trained to work bilingually in the mental health department. She interprets for our English speaking therapists during sessions and facilitates patient coordination for the mental health department. Michelle deeply enjoys aiding patients in the process of seeking therapy services on their journey to healing and growing.

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