Active NPI
Bridget Powers Grady, LMFT
- Mental Health Counselor
- Mason City, IA
National Provider Identifier
1073156576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 094848
- Practice address
- 520 S Pierce Ave Ste 213
Mason City, IA 50401-2751 - Phone
- (641) 426-0650
- NPI assigned
- Oct 28, 2019
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 094848 | IA | Primary |
Addresses
Primary practice location
520 S Pierce Ave Ste 213
Mason City, IA 50401-2751
Mailing address
PO Box 2660
Waterloo, IA 50704-2660
Phone (641) 426-0650
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
| License | State | Type | Specialty |
|---|---|---|---|
| 094848 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridget Marie Powers | Mental Health | Current | Accepting new patients |
| Mantra Energy Center | Mental Health | Current | Accepting new patients |
Locations
520 S Pierce Ave
Ste 213
Mason City, IA 50401
Phone (501) 690-9854
Organizations & group practices 2
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": "1572220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1073156576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2660",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507042660",
"telephone_number": "641-426-0650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S PIERCE AVE STE 213",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504012751",
"telephone_number": "641-426-0650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRADY",
"first_name": "BRIDGET",
"middle_name": "POWERS",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-28",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "094848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mason City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.