Individual provider Active NPI

Katie Casper, MS

  • Mental Health Counselor
  • Grinnell, IA
National Provider Identifier
1174246151
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
116713 Issued in IA
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

Updated by the provider on Sep 23, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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, PCGroup PAC ID 0749469898, 5 clinicians

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

LicenseStateTypeSpecialty
116713IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Psychological Services, PC CurrentSince Dec 1, 2024 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

Verify at the official NPI Registry.