Active NPI
Micah Minor, LMSW
- Social Worker
- Elkader, IA
National Provider Identifier
1104679802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 107581
- Practice address
- 105 Johnson St NE
Suite 201
Elkader, IA 52043 - Phone
- (563) 929-3595
- Fax
- (877) 728-2951
- NPI assigned
- Apr 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 107581 | IA | Primary |
Addresses
Primary practice location
105 Johnson St NE
Suite 201
Elkader, IA 52043
Mailing address
213 E Main St
Anamosa, IA 52205-5701
Phone (319) 224-0722
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.therapynotes.com/app/login/RISECounseling52205/ | Health Information Exchange (HIE) |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260313002604 | IA | Practitioner - Clinical Social Worker | 2668955089 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rise Counseling and Consulting PLLC
Practice addresses (Care Compare)
213 E Main St
Anamosa, IA 52205-5701
Phone (319) 224-0722
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107581 | IA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rise Counseling & Consulting, PLLC | Mental Health | Current | Accepting new patients |
Locations
213 E Main St
Anamosa, IA 52205
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.
-
- Marriage & Family Therapist
- Anamosa, IA
- NPI 1659031094
IA, Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1104679802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 E MAIN ST",
"city": "ANAMOSA",
"state": "IA",
"postal_code": "522055701",
"telephone_number": "319-224-0722",
"fax_number": "877-728-2951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 JOHNSON ST NE",
"address_2": "SUITE 201",
"city": "ELKADER",
"state": "IA",
"postal_code": "52043",
"telephone_number": "563-929-3595",
"fax_number": "877-728-2951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINOR",
"first_name": "MICAH",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-10",
"last_updated": "2024-06-25",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "107581",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.therapynotes.com/app/login/RISECounseling52205/",
"affiliation": "N",
"endpointDescription": "EHR System - TherapyNotes",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EHR System - TherapyNotes",
"address_1": "213 E Main Street",
"city": "Anamosa",
"state": "IA",
"country_code": "US",
"postal_code": "52205",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Elkader, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.