Active NPI
Michelle Banks
- Counselor
- Spirit Lake, IA
National Provider Identifier
1225528607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 091068
- Practice address
- 710 Lake St
Spirit Lake, IA 51360-1600 - Phone
- (712) 320-8112
- Fax
- (712) 336-6887
- NPI assigned
- May 11, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 18013 | IA | |
| Counselor | 101Y00000X | 091068 | IA | Primary |
Addresses
Primary practice location
710 Lake St
Spirit Lake, IA 51360-1600
Mailing address
PO Box 70
Le Mars, IA 51031-0070
Phone (712) 546-4624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 091068 | IA | MD | Counselor |
| 18013 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plains Area Mental Health, Inc. | Current | Accepting new patients | |
| Compass Pointe, Behavioral Health Services | Past | Accepting new patients | |
| Plains Area Mental Health, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Le Mars, IA
- NPI 1356198147
-
- Community/Behavioral Health Agency
- Spencer, IA
- NPI 1942360805
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Le Mars, IA
- NPI 1801867734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1225528607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70",
"city": "LE MARS",
"state": "IA",
"postal_code": "510310070",
"telephone_number": "712-546-4624",
"fax_number": "712-546-9395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 LAKE ST",
"city": "SPIRIT LAKE",
"state": "IA",
"postal_code": "513601600",
"telephone_number": "712-320-8112",
"fax_number": "712-336-6887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-11",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IA",
"license": "18013",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IA",
"license": "091068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spirit Lake, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.