Individual provider Active NPI

Micah Minor, LMSW

  • Social Worker
  • Elkader, IA
National Provider Identifier
1104679802
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
107581 Issued in IA
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

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PLLCGroup PAC ID 1456715432, 10 clinicians

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

LicenseStateTypeSpecialty
107581IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Counseling & Consulting, PLLC Mental Health CurrentSince Mar 1, 2026 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.

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

Verify at the official NPI Registry.