Active NPI
Lisa J Bellows, LISW
- Clinical Social Worker
- Council Bluffs, IA
National Provider Identifier
1174597751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 05745
- 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.
-
- Mental Health Counselor
- Perry, IA
- NPI 1649243403
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
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220908000289 | IA | Practitioner - Clinical Social Worker | 9335523430 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05745 | IA | MD | Clinical Social Worker |
| 3059 | NE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Therapy Group, LLC | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 05745 | IA | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34713 | Other | IA | WELLMARK |
| 236012 | Other | IA | MIDLANDS CHOICE |
Other names 1
NPPES NPI Registry- Lisa J Albers
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.