Active NPI
Mary Teresa Lothe
- Mental Health Counselor
- Johnston, IA
National Provider Identifier
1265073308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 5415 NW 88TH St Ste 100
Johnston, IA 50131-2951 - Phone
- (515) 727-1338
- NPI assigned
- Sep 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
5415 NW 88TH St Ste 100
Johnston, IA 50131-2951
Mailing address
15311 Brookview Dr
Urbandale, IA 50323-2522
Other practice location 1
5415 NW 88th St Ste 100
Johnston, IA 50131-2951
Phone (515) 727-1338
Other practice location 2
5415 NW 88th St Ste 100
Johnston, IA 50131-2951
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@familylegacycounseling.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569801600000",
"number": "1265073308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15311 BROOKVIEW DR",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503232522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5415 NW 88TH ST STE 100",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501312951",
"telephone_number": "515-727-1338"
}
],
"practiceLocations": [
{
"address_1": "5415 NW 88th St Ste 100",
"address_purpose": "LOCATION",
"city": "Johnston",
"state": "IA",
"postal_code": "501312951",
"country_code": "US",
"telephone_number": "515-727-1338",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5415 NW 88th St Ste 100",
"address_purpose": "LOCATION",
"city": "Johnston",
"state": "IA",
"postal_code": "501312951",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOTHE",
"first_name": "MARY",
"middle_name": "TERESA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-30",
"last_updated": "2019-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@familylegacycounseling.com",
"affiliation": "N",
"address_1": "5415 NW 88th St Ste 100",
"city": "Johnston",
"state": "IA",
"country_code": "US",
"postal_code": "501312951",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Johnston, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.