Individual provider Active NPI

Julie R Kneip

  • Mental Health Counselor
  • Waverly, IA
National Provider Identifier
1104129741
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001366 Issued in IA
Practice address
609 4TH Ave SW
Waverly, IA 50677-3016
Phone
(319) 429-1301
NPI assigned
Dec 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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 001366 IA Primary

Addresses

Primary practice location

609 4TH Ave SW
Waverly, IA 50677-3016

Mailing address

609 4TH Ave SW
Waverly, IA 50677-3016
Phone (319) 429-1301

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
I20241108002286 IA Practitioner - Mental Health Counselor 3375077662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

406 W Bremer Ave
Suite C
Waverly, IA 50677-3154
Phone (319) 429-1301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001366IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Renee Kneip Mental Health CurrentSince Oct 7, 2024 Accepting new patients

Locations

406 W Bremer Ave
Ste C
Waverly, IA 50677
Phone (319) 346-1216

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1104129741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 4TH AVE SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506773016",
            "telephone_number": "319-429-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 4TH AVE SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506773016",
            "telephone_number": "319-429-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEIP",
        "first_name": "JULIE",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-20",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, IA

Sources for this page

Verify at the official NPI Registry.