Active NPI
Chelsea Zaragoza
- Mental Health Counselor
- Spencer, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 098292
- 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
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 |
|---|---|---|---|---|
| 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, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 098292 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Services in Iowa, Inc. | Current | Accepting new patients | |
| Life Medical, P.a. | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.