Individual provider Active NPI

Dawn M. Rechkemmer

  • Mental Health Counselor
  • North Liberty, IA
National Provider Identifier
1033722277
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
105397 Issued in IA
Practice address
580 N Madison Ave Unit 3
North Liberty, IA 52317-8402
Phone
(319) 343-7727
NPI assigned
Aug 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 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 105397 IA Primary

Addresses

Primary practice location

580 N Madison Ave Unit 3
North Liberty, IA 52317-8402

Mailing address

580 N Madison Ave Unit 3
North Liberty, IA 52317-8402
Phone (319) 343-7727

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
105397IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Prevail Counseling for Wellness, LLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

580 N Madison Ave
Unit 3
North Liberty, IA 52317
Phone (319) 343-7727

Organizations & group practices 1

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": "1598486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1033722277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 N MADISON AVE UNIT 3",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178402",
            "telephone_number": "319-343-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 N MADISON AVE UNIT 3",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178402",
            "telephone_number": "319-343-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECHKEMMER",
        "first_name": "DAWN",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-27",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "105397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.