Active NPI
Counseling and Assessment Service, PC
- Clinical Psychologist
- Independence, IA
National Provider Identifier
1205004033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- COUNSELING AND ASSESSMENT SERVICE, PC
- Practice address
- 515 2ND St NE
Independence, IA 50644-1915 - Phone
- (319) 334-6820
- Fax
- (319) 334-7086
- NPI assigned
- Feb 14, 2008
- Last updated
- Feb 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George M Harper, ED.D.
- Title
- Director/Owner Licensed Psychologis
- Phone
- (319) 334-6820
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | NU | Primary |
Addresses
Primary practice location
515 2ND St NE
Independence, IA 50644-1915
Mailing address
515 2ND St NE
Independence, IA 50644-1915
Phone (319) 334-6820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
515 2nd St NE
Independence, IA 50644
Phone (319) 334-6820
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- Independence, IA
- NPI 1114906476
-
- Psychologist
- Independence, IA
- NPI 1922087410
-
- Psychiatry Physician
- Cedar Rapids, IA
- NPI 1689653149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360886400000",
"number": "1205004033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 2ND ST NE",
"city": "INDEPENDENCE",
"state": "IA",
"postal_code": "506441915",
"telephone_number": "319-334-6820",
"fax_number": "319-334-7086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 2ND ST NE",
"city": "INDEPENDENCE",
"state": "IA",
"postal_code": "506441915",
"telephone_number": "319-334-6820",
"fax_number": "319-334-7086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNSELING AND ASSESSMENT SERVICE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-14",
"last_updated": "2013-02-15",
"status": "A",
"authorized_official_last_name": "HARPER",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR/OWNER LICENSED PSYCHOLOGIS",
"authorized_official_telephone_number": "319-334-6820",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ED.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, IA
- Cedar Valley Medical Specialists PC
- Cedar Valley Podiatry PC
- Changing Leaf Counseling
- Muhammad Afzal Chowdhry, MD
- Cornerstone Family Therapy, LLC
- County of Buchanan (Buchanan County Ambulance Service)
- Bhasker Jethalal Dave, MD
- Randolfo De Leon, M.D.
- Kimberly Deterding, LAC; LMT
- Sarah Rae Devore, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.