Active NPI
Katie Casper, MS
- Mental Health Counselor
- Grinnell, IA
National Provider Identifier
1174246151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 116713
- Practice address
- 809 5TH Ave
Grinnell, IA 50112-1653 - Phone
- (641) 236-0632
- NPI assigned
- Sep 23, 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 | 116713 | IA | Primary |
Addresses
Primary practice location
809 5TH Ave
Grinnell, IA 50112-1653
Mailing address
809 5TH Ave
Grinnell, IA 50112-1653
Phone (641) 236-0632
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241209000336 | IA | Practitioner - Mental Health Counselor | 9234665779 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Davis Psychological Services, PC
Practice addresses (Care Compare)
217 4TH Ave W
Grinnell, IA 50112-1895
Phone (641) 236-0632
821 5TH Ave
Suite 201
Grinnell, IA 50112-1653
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116713 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis Psychological Services, PC | Current | Accepting new patients |
Locations
809 5th Ave
Grinnell, IA 50112
217 4th Ave W
Grinnell, IA 50112
Phone (515) 236-7524
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": "1663891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1174246151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 5TH AVE",
"city": "GRINNELL",
"state": "IA",
"postal_code": "501121653",
"telephone_number": "641-236-0632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 5TH AVE",
"city": "GRINNELL",
"state": "IA",
"postal_code": "501121653",
"telephone_number": "641-236-0632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASPER",
"first_name": "KATIE",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-23",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "116713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grinnell, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.