Individual provider Active NPI

Christopher M Loeckle, LISW

  • Mental Health Counselor
  • Iowa City, IA
National Provider Identifier
1003051376
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
006933 Issued in IA
Practice address
221 E College St Ste 211
Iowa City, IA 52240-1759
Phone
(319) 541-5859
NPI assigned
Dec 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 006933 IA Primary

Addresses

Primary practice location

221 E College St Ste 211
Iowa City, IA 52240-1759

Mailing address

1530 Sheridan Ave
Iowa City, IA 52240-6259
Phone (319) 541-5859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006933IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Abbe Center for Community Mental Health, Inc Past Accepting new patients
Community Mental Health Center for Mid-Eastern Iowa PastSince Mar 23, 1994 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1003051376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 SHERIDAN AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406259",
            "telephone_number": "319-541-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E COLLEGE ST STE 211",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522401759",
            "telephone_number": "319-541-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOECKLE",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-15",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "006933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.