Organization Active NPI

Rasmussen Counseling and Spiritual Direction Inc

  • Clinical Social Worker
  • Waterloo, IA
National Provider Identifier
1134772064
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RASMUSSEN COUNSELING AND SPIRITUAL DIRECTION INC
Practice address
3356 Kimball Ave
Waterloo, IA 50702-5700
Phone
(319) 883-4255
NPI assigned
Jul 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Authorized official

Name
Laura Rasmussen, LISWNPI 1770528853
Title
Owner
Phone
(319) 883-4255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3356 Kimball Ave
Waterloo, IA 50702-5700

Mailing address

3356 Kimball Ave
Waterloo, IA 50702-5700
Phone (319) 883-4255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191001001824 IA Part B Supplier - Clinic/Group Practice 5799015939 Receives reassigned benefits from 1 practitioner
Practice locations: Waterloo, IA

National Provider Directory

National Provider Directory

Locations

3356 Kimball Ave
Ste 5
Waterloo, IA 50702
Phone (319) 240-5035

3356 Kimball Ave
Waterloo, IA 50702
Phone (319) 235-4125

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1134772064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3356 KIMBALL AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025700",
            "telephone_number": "319-883-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3356 KIMBALL AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025700",
            "telephone_number": "319-883-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RASMUSSEN COUNSELING AND SPIRITUAL DIRECTION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-883-4255",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.