Individual provider Active NPI

Kelley Dickey Cuddy, LMHC

  • Mental Health Counselor
  • Le Mars, IA
National Provider Identifier
1013243914
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00224 Issued in IA
Practice address
180 10TH St SE Ste 201
Le Mars, IA 51031-2557
Phone
(712) 546-4624
Fax
(712) 546-9395
NPI assigned
Oct 27, 2009
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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 00224 IA Primary

Addresses

Primary practice location

180 10TH St SE Ste 201
Le Mars, IA 51031-2557

Mailing address

180 10TH St SE Ste 201
Le Mars, IA 51031-2557
Phone (712) 546-4624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231205002231 IA Practitioner - Mental Health Counselor 0941659734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Plains Area Mental Health IncGroup PAC ID 5395649743, 24 clinicians

Practice addresses (Care Compare)

180 10TH St SE
Suite 201
Le Mars, IA 51031-2557
Phone (712) 546-4624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Plains Area Mental Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Plains Area Mental Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

318 S Maple St
Ste 1
Carroll, IA 51401
Phone (712) 792-0480

900 N 2nd St
Ste A
Cherokee, IA 51012
Phone (712) 225-2575

515 Highway 39
Denison, IA 51442
Phone (712) 263-3172

101 2nd St
Ida Grove, IA 51445
Phone (712) 364-2300

180 10th St SE
Ste 201
Le Mars, IA 51031
Phone 7125464624 ext. 2108

710 Lake St
Ste 2
Spirit Lake, IA 51360
Phone (712) 320-8112

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1013243914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 10TH ST SE STE 201",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510312557",
            "telephone_number": "712-546-4624",
            "fax_number": "712-546-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 10TH ST SE STE 201",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510312557",
            "telephone_number": "712-546-4624",
            "fax_number": "712-546-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEY CUDDY",
        "first_name": "KELLEY",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Le Mars, IA

Sources for this page

Verify at the official NPI Registry.