Individual provider Active NPI

Nim Clara Knobbe

  • Mental Health Counselor
  • Carroll, IA
National Provider Identifier
1104176221
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
603 N West St
Carroll, IA 51401-2346
Phone
(712) 775-2501
Fax
(712) 775-2502
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
Yes

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

712 N Crawford St
Holistic Healing Counseling
Carroll, IA 51401-2218
Phone (712) 775-2501

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
I20210721000496 IA Practitioner - Clinical Social Worker 0042613614 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Healing Counseling, LLC Mental Health CurrentSince Jul 1, 2021 Accepting new patients

Locations

603 N West St
Carroll, IA 51401
Phone (712) 775-2501

712 N Crawford St
Carroll, IA 51401
Phone (712) 775-2501

NPPES NPI Registry

Updated by the provider on Nov 10, 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 Primary

Addresses

Primary practice location

603 N West St
Carroll, IA 51401-2346

Mailing address

603 N West St
Carroll, IA 51401-2346
Phone (712) 775-2501

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1104176221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N WEST ST",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514012346",
            "telephone_number": "712-775-2501",
            "fax_number": "712-775-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N WEST ST",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514012346",
            "telephone_number": "712-775-2501",
            "fax_number": "712-775-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOBBE",
        "first_name": "NIM",
        "middle_name": "CLARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carroll, IA

Sources for this page

Verify at the official NPI Registry.