Empowering Grounds LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EMPOWERING GROUNDS LLC

Practice address

531 S 29TH St Ste 1
Fort Dodge, IA 50501-5503

Phone

(515) 576-9376

NPI assigned

Dec 1, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Roxanne FevoldNPI 1558752766

Title

LMHC/Owner

Phone

(515) 576-9376

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roxanne Lee Fevold, LMHC

  • Mental Health Counselor
  • Fort Dodge, IA
  • NPI 1558752766
  Medicare reassignment Care Compare group NPD Authorized official
• Kirsten J Olson, LISW

  • Clinical Social Worker
  • Fort Dodge, IA
  • NPI 1780956094
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1093310708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2400",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 S 29TH ST STE 1",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015503",
            "telephone_number": "515-576-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERING GROUNDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "FEVOLD",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "LMHC/OWNER",
        "authorized_official_telephone_number": "515-576-9376"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcella Maria Echevarria
• Harvey Joel Eernisse, PHARMACIST
• Erin Eide
• Kieran Ann Einwalter, ARNP
• Cara Jean Ellis, ARNP
• Lana Emrys
• Engelmann Counseling PLLC
• Erika and Thaylan Bowman DDS, PLLC
• Samuel Clark Espey, DPT
• Daniel Dean Essing

• Mental Health Counselor in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.