Individual provider Active NPI

Meredith Francom, TLMHC

  • Mental Health Counselor
  • Ames, IA
National Provider Identifier
1063274777
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
123632 Issued in IA
Practice address
614 Billy Sunday Rd Ste 100
Ames, IA 50010-8048
Phone
(515) 337-1764
Fax
(515) 337-0480
NPI assigned
Jan 29, 2024
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 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 123632 IA Primary

Addresses

Primary practice location

614 Billy Sunday Rd Ste 100
Ames, IA 50010-8048

Mailing address

116 15TH St
Ames, IA 50010-5302
Phone (515) 357-2353

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
123632IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Brook Counseling Professionals, LLC Mental Health CurrentSince Jun 1, 2024 Accepting new patients

Locations

614 Billy Sunday Rd
Ste 100
Ames, IA 50010
Phone (515) 337-0480

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, 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": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1063274777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 15TH ST",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105302",
            "telephone_number": "515-357-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 BILLY SUNDAY RD STE 100",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108048",
            "telephone_number": "515-337-1764",
            "fax_number": "515-337-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCOM",
        "first_name": "MEREDITH",
        "credential": "TLMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "123632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.