Individual provider Active NPI

Carrie Ann Merrick, M.A., L.M.H.C.

  • Mental Health Counselor
  • Dubuque, IA
National Provider Identifier
1205927357
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00879 Issued in IA
Practice address
909 Main St
Suite 505
Dubuque, IA 52001-6712
Phone
(563) 556-0699
Fax
(563) 583-3077
NPI assigned
Sep 27, 2006
Last updated
Jan 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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 00879 IA Primary

Addresses

Primary practice location

909 Main St
Suite 505
Dubuque, IA 52001-6712

Mailing address

8110 Southern Hills Cir
Dubuque, IA 52003-8984
Phone (563) 590-5862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1500 Associates Dr
Dubuque, IA 52002-2260

200 Mercy Dr
Suite 201
Dubuque, IA 52001-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
00879IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Counseling Center, LLC Mental Health PastSince Oct 22, 2012 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1205927357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 SOUTHERN HILLS CIR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520038984",
            "telephone_number": "563-590-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 MAIN ST",
            "address_2": "SUITE 505",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016712",
            "telephone_number": "563-556-0699",
            "fax_number": "563-583-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRICK",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.A., L.M.H.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.