Organization Active NPI

Integrated Community Therapists, LLC

  • Mental Health Counselor
  • Iowa City, IA
National Provider Identifier
1033580089
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INTEGRATED COMMUNITY THERAPISTS, LLC
Practice address
123 N Linn St
Suite 2a
Iowa City, IA 52245-2143
Phone
(319) 337-3357
Fax
(319) 337-2758
NPI assigned
Oct 16, 2015
Last updated
Oct 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Authorized official

Name
Megan Lavelle, LMHC, CADCNPI 1841521689
Title
Partner
Phone
(319) 337-3357

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

123 N Linn St
Suite 2a
Iowa City, IA 52245-2143

Mailing address

123 N Linn St
Suite 2a
Iowa City, IA 52245-2143
Phone (319) 337-3357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251113002165 IA Part B Supplier - Clinic/Group Practice 0840781241 Receives reassigned benefits from 3 practitioners
Practice locations: Iowa City, IA

National Provider Directory

National Provider Directory

Locations

123 N Linn St
Ste 300
Iowa City, IA 52245
Phone (319) 337-3357

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1033580089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N LINN ST",
            "address_2": "SUITE 2A",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452143",
            "telephone_number": "319-337-3357",
            "fax_number": "319-337-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N LINN ST",
            "address_2": "SUITE 2A",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452143",
            "telephone_number": "319-337-3357",
            "fax_number": "319-337-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED COMMUNITY THERAPISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "LAVELLE",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "319-337-3357",
        "authorized_official_credential": "LMHC, CADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "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 Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.