Individual provider Active NPI

Douglas Cleo Langfald, M.A., CLIN. PSYCHOLO

  • Mental Health Counselor
  • Mason City, IA
National Provider Identifier
1154632867
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMSW#03630 Issued in IA
Practice address
980 South Iowa Ave
Mason City, IA 50402
Phone
(641) 423-3222
Fax
(641) 423-1740
NPI assigned
Jun 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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 LMSW#03630 IA Primary

Addresses

Primary practice location

980 South Iowa Ave
Mason City, IA 50402

Mailing address

5400 Kirk Wood Blvd. SW
Cedar Rapids, IA 52409
Phone (319) 364-0259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LMSW#03630IAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1154632867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 KIRK WOOD BLVD. SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52409",
            "telephone_number": "319-364-0259",
            "fax_number": "866-290-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 SOUTH IOWA AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "50402",
            "telephone_number": "641-423-3222",
            "fax_number": "641-423-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGFALD",
        "first_name": "DOUGLAS",
        "middle_name": "CLEO",
        "name_prefix": "Mr.",
        "credential": "M.A., CLIN. PSYCHOLO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "LMSW#03630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.