Kacey Denise Courtney
Individual provider Active NPI Mental Health Counselor · Leon, IA
NPI 1053193227 · NPPES record last updated Oct 20, 2023
Key facts
- NPI
- 1053193227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 114049 (IA)
- Practice address
- 302 NE 14TH St
Leon, IA 50144-1206 - Phone
- (641) 446-2383
- NPI assigned
- Oct 20, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Infinity Health
Practice addresses (Care Compare)
302 NE 14TH St
Leon, IA 50144-1206
Phone (641) 446-2383
802 Ackerley St
Lamoni, IA 50140-1544
Phone (641) 784-7911
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240102000385 | IA | Practitioner - Mental Health Counselor | 0446600555 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinity Health | Current |
Accepting new patients |
Locations
102 N Franklin St
#104
Corydon, IA 50060
Phone (641) 872-1750
302 NE 14th St
Leon, IA 50144
Phone (641) 446-2383
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 114049 | IA | Yes |
Addresses
Primary practice location
302 NE 14TH St
Leon, IA 50144-1206
Mailing address
302 NE 14TH St
Leon, IA 50144-1206
Phone (414) 462-3836
Other providers in Leon, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.