Active NPI
Rebecca Trimble, LISW
- Counselor
- Winterset, IA
National Provider Identifier
1043375900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LISW 01212
- Practice address
- 300 W Hutchings St
Winterset, IA 50273-2104 - Phone
- (515) 462-2373
- Fax
- (515) 462-3105
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LISW 01212 | IA | Primary |
Addresses
Primary practice location
300 W Hutchings St
Winterset, IA 50273-2104
Mailing address
300 W Hutchings St
Winterset, IA 50273-2104
Phone (515) 462-2373
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
| License | State | Type | Specialty |
|---|---|---|---|
| LISW 01212 | IA | MD | Counselor |
| 01212 | IA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimae Lifeservices, Inc, | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Fairfield, IA
- NPI 1174520084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043375900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W HUTCHINGS ST",
"city": "WINTERSET",
"state": "IA",
"postal_code": "502732104",
"telephone_number": "515-462-2373",
"fax_number": "515-462-3105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W HUTCHINGS ST",
"city": "WINTERSET",
"state": "IA",
"postal_code": "502732104",
"telephone_number": "515-462-2373",
"fax_number": "515-462-3105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIMBLE",
"first_name": "REBECCA",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IA",
"license": "LISW 01212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winterset, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.