Individual provider Active NPI

Amy J Molyneux, LMSW

  • Mental Health Counselor
  • Sigourney, IA
National Provider Identifier
1053684316
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
06705 Issued in IA
Practice address
1314 S Stuart St Ste B
Sigourney, IA 52591-1154
Phone
(641) 622-1170
NPI assigned
Feb 17, 2012
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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 06705 IA Primary

Addresses

Primary practice location

1314 S Stuart St Ste B
Sigourney, IA 52591-1154

Mailing address

1314 S Stuart St Ste B
Sigourney, IA 52591-1154
Phone (641) 622-1148

Other practice location 1

301 W Burlington Ave
Fairfield, IA 52556-3242
Phone (641) 472-5771

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
I20190430001110 IA Practitioner - Clinical Social Worker 1658613385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keokuk County Health CenterGroup PAC ID 0244138774, 23 clinicians

Practice addresses (Care Compare)

23019 Hwy 149
Sigourney, IA 52591-8341
Phone (641) 622-2720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Keokuk County Health Center CurrentSince Jun 1, 2019 Accepting new patients
Keokuk County Health Center Current Accepting new patients
Keokuk County Health Center CurrentSince Jun 1, 2019 Accepting new patients

Locations

1314 S Stuart St
Sigourney, IA 52591
Phone (319) 337-7642

1314 S Stuart St
Ste B
Sigourney, IA 52591
Phone (641) 622-1148

23019 Highway 149
Sigourney, IA 52591
Phone (641) 622-2720

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/keocohc-1efc0458

Organizations & group practices 3

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": "1329436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1053684316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 S STUART ST STE B",
            "city": "SIGOURNEY",
            "state": "IA",
            "postal_code": "525911154",
            "telephone_number": "641-622-1148",
            "fax_number": "641-210-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S STUART ST STE B",
            "city": "SIGOURNEY",
            "state": "IA",
            "postal_code": "525911154",
            "telephone_number": "641-622-1170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 W Burlington Ave",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "IA",
            "postal_code": "525563242",
            "country_code": "US",
            "telephone_number": "641-472-5771",
            "fax_number": "641-472-1817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLYNEUX",
        "first_name": "AMY",
        "middle_name": "J",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-17",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "06705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sigourney, IA

Sources for this page

Verify at the official NPI Registry.