Marney Malena Medhaug

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

108810 Issued in IA

Practice address

22 N Center St
Marshalltown, IA 50158-4911

Phone

(641) 752-2300

NPI assigned

Aug 6, 2021

Last updated

Aug 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/yss/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wild Spirit Counseling, LLC

  • Mental Health Counselor
  • Marshalltown, IA
  • NPI 1609518810
  Medicare reassignment NPD
• Youth and Shelter Services, Inc.

  dba Yss

  • Counselor
  • Ames, IA
  • NPI 1841357894

  Mental Health

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1184398786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 N CENTER ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 N CENTER ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584911",
            "telephone_number": "641-752-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDHAUG",
        "first_name": "MARNEY",
        "middle_name": "MALENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "108810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McFarland Clinic, PC
• Mackenzie McGraw
• John Fitzgerald McInnerney, LISW/CADC
• Gladys McIntire, ARNP
• Mary Jane McLaggan, LPC
• Chad Matthew Menke, D.D.S.
• Katie Elizabeth Mennenga
• Hannah Merfeld
• Kerri Jo Metzger, M.D.
• Roy E Metzger Jr., ARNP

• Mental Health Counselor in Marshalltown, IA
• Providers in Marshalltown, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.