Individual provider Active NPI

Lisa J Bellows, LISW

  • Clinical Social Worker
  • Council Bluffs, IA
National Provider Identifier
1174597751
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05745 Issued in IA
Practice address
300 W Broadway Ste 270
Council Bluffs, IA 51503-9028
Phone
(712) 256-7511
Fax
(712) 256-9766
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Therapy Group LLC 10 clinicians

Practice addresses (Care Compare)

300 W Broadway
Suite 270
Council Bluffs, IA 51503-9028
Phone (712) 256-7511

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20220908000289 IA Practitioner - Clinical Social Worker 9335523430 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05745IAMDClinical Social Worker
3059NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Therapy Group, LLC CurrentSince Aug 16, 2022 Accepting new patients
Institute for Therapy and Psychological Solutions L.L.C. Past Accepting new patients

Locations

300 W Broadway
Ste 270
Council Bluffs, IA 51503
Phone (712) 256-7511

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 05745 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

300 W Broadway Ste 270
Council Bluffs, IA 51503-9028

Mailing address

54944 221St St
Glenwood, IA 51534-6041
Phone (402) 657-2133

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
34713OtherIAWELLMARK
236012OtherIAMIDLANDS CHOICE

Other names 1

NPPES NPI Registry
  • Lisa J Albers Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 17, 2022.

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1174597751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54944 221ST ST",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "515346041",
            "telephone_number": "402-657-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W BROADWAY STE 270",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515039028",
            "telephone_number": "712-256-7511",
            "fax_number": "712-256-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLOWS",
        "first_name": "LISA",
        "middle_name": "J",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "05745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "34713",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "236012",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "ALBERS",
            "middle_name": "J",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.