John Upshaw, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5588 Issued in IA

Practice address

2802 Orchard Dr
Cedar Falls, IA 50613-5898

Phone

(319) 268-9700

Fax

(319) 268-1934

NPI assigned

Jun 28, 2006

Last updated

Jul 17, 2007By the provider in NPPES

Sex

Male

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

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Green Counseling Services PLLCGroup PAC ID 9234612052, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Green Counseling Services PLLC

  • Mental Health Counselor
  • Coralville, IA
  • NPI 1528564762
  Medicare reassignment Care Compare group NPD
• Covenant Medical Center Inc

  dba MercyOne Medical Group Northeast Iowa

  • Family Medicine Physician
  • Waterloo, IA
  • NPI 1548288160
  NPD
• Covenant Medical Center, Inc.

  dba MercyOne Evansdale home medical equipment

  • Customized Equipment (DME)
  • Evansdale, IA
  • NPI 1851141980
  NPD
• Psychiatric Associates of Northeast Iowa PC

  • Marriage & Family Therapist
  • Waterloo, IA
  • NPI 1457428112
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1225066673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 KIMBALL AVE",
            "address_2": "LL14",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025063",
            "telephone_number": "319-272-1590",
            "fax_number": "319-272-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 ORCHARD DR",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506135898",
            "telephone_number": "319-268-9700",
            "fax_number": "319-268-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPSHAW",
        "first_name": "JOHN",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "5588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Union Care of Iowa LLC (N/a)
• United Luxe Med Inc
• University Health Services Pharmacy (University of Northern Iowa Pharmacy)
• University of Northern Iowa (University of Northern Iowa Student Health Clinic)
• University of Northern Iowa Roy Eblen Speech and Hearing Clinic
• Ines Valcarce Romero, MD
• Valley Asd Consults
• John Craig Vana, CRNA
• Amy L Vanarkel, LMT
• Carl D. Vanderkooi, MD

• Clinical Social Worker in Cedar Falls, IA
• Providers in Cedar Falls, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.