Individual provider Active NPI

Lorra Rea Gire, LMSW

  • Mental Health Counselor
  • Ottumwa, IA
National Provider Identifier
1174887715
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007855 Issued in IA
Practice address
110 E Main St
Ottumwa, IA 52501-2910
Phone
(641) 682-8772
Fax
(641) 682-1924
NPI assigned
Jun 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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 007855 IA Primary

Addresses

Primary practice location

110 E Main St
Ottumwa, IA 52501-2910

Mailing address

110 E Main St
Ottumwa, IA 52501-2910
Phone (641) 682-8772

Other identifiers 2

IdentifierTypeStateIssuer
1659353670OtherIABC/BS
1659359670MedicaidIA

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
I20150130001176 IA Practitioner - Clinical Social Worker 5092039644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ankeny Family CounselingGroup PAC ID 6103364666, 5 clinicians

Practice addresses (Care Compare)

1850 SW Plaza Shops LN
Suite D
Ankeny, IA 50023-7168

1910 SW Plaza Shops LN
Ankeny, IA 50023-7080
Phone (515) 508-1150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
007855IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ankeny Family Counseling Mental Health CurrentSince Sep 23, 2024 Accepting new patients

Locations

1850 SW Plaza Shops Ln
Ste D
Ankeny, IA 50023
Phone (515) 228-6596

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": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1174887715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E MAIN ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012910",
            "telephone_number": "641-682-8772",
            "fax_number": "641-682-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E MAIN ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012910",
            "telephone_number": "641-682-8772",
            "fax_number": "641-682-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRE",
        "first_name": "LORRA",
        "middle_name": "REA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "007855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "1659353670",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659359670",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottumwa, IA

Sources for this page

Verify at the official NPI Registry.