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

Sex

Female

Sole proprietor

No

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.

• Wild Spirit Counseling, LLC

  • Mental Health Counselor
  • Marshalltown, IA
  • NPI 1609518810

  IA, Mental Health

  Medicare reassignment NPD
• Youth and Shelter Services, Inc.

  • Counselor
  • Ames, IA
  • NPI 1841357894

  Mental Health

  NPD (past)

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 (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 6, 2021.

{
    "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": []
}

• John Michael McCune, M.D.
• McFarland Clinic, PC
• 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

• All providers in Marshalltown, IA
• 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.