Individual provider Active NPI

Chelsea Zaragoza

  • Mental Health Counselor
  • Spencer, IA
National Provider Identifier
1124771324
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
098292 Issued in IA
Practice address
605 Grand Ave Ste 309314
Spencer, IA 51301-3921
Phone
(712) 262-4083
NPI assigned
Jan 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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 098292 IA Primary

Addresses

Primary practice location

605 Grand Ave Ste 309314
Spencer, IA 51301-3921

Mailing address

1007 Meyers St
Ruthven, IA 51358-7777
Phone (712) 260-0064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240227000272 IA Practitioner - Mental Health Counselor 9436594736 Reassigns benefits to 1 organization
I20260128002028 MN Practitioner - Mental Health Counselor 9436594736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lutheran Services in Iowa Inc 12 clinicians

Practice addresses (Care Compare)

3125 Cottage Grove Ave
Des Moines, IA 50311-3809
Phone (515) 274-4946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
098292IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Services in Iowa, Inc. CurrentSince Jan 13, 2024 Accepting new patients
Life Medical, P.a. CurrentSince Jan 1, 2026 Accepting new patients

Locations

3125 Cottage Grove Ave
Des Moines, IA 50311
Phone (515) 274-4946

225 University Ave W
Ste 122
Saint Paul, MN 55103
Phone (651) 525-6169

4201 Excelsior Blvd
St Louis Park, MN 55416
Phone (952) 564-3880

Organizations & group practices 2

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": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1124771324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 MEYERS ST",
            "city": "RUTHVEN",
            "state": "IA",
            "postal_code": "513587777",
            "telephone_number": "712-260-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 GRAND AVE STE 309314",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513013921",
            "telephone_number": "712-262-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARAGOZA",
        "first_name": "CHELSEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "098292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, IA

Sources for this page

Verify at the official NPI Registry.