Individual provider Active NPI

Lynne A Vestal, LMHC

  • Mental Health Counselor
  • Iowa City, IA
National Provider Identifier
1225162571
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00815 Issued in IA
Practice address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone
(319) 353-6963
Fax
(319) 356-2587
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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 00815 IA Primary

Addresses

Primary practice location

200 Hawkins Dr
Iowa City, IA 52242-1009

Mailing address

1239 73Rd Street
Suite J
Windsor Heights, IA 50311
Phone (515) 267-8899

Other practice location 1

1239 73rd Street
Suite J
Windsor Heights, IA 50311
Phone (515) 267-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 16, 2026 through Apr 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00815IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lynne Vestal Counseling, P.C. Mental Health Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1225162571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 73RD STREET",
            "address_2": "SUITE J",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "50311",
            "telephone_number": "515-267-8899",
            "fax_number": "515-223-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-353-6963",
            "fax_number": "319-356-2587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1239 73rd Street",
            "address_2": "Suite J",
            "address_purpose": "LOCATION",
            "city": "Windsor Heights",
            "state": "IA",
            "postal_code": "50311",
            "country_code": "US",
            "telephone_number": "515-267-8899",
            "fax_number": "515-223-5572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VESTAL",
        "first_name": "LYNNE",
        "middle_name": "A",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.