Individual provider Active NPI

Patricia Jo Salvo-McGinn, M.S.

  • Mental Health Counselor
  • Council Bluffs, IA
National Provider Identifier
1265479653
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00764 Issued in IA
Practice address
300 W Broadway
Suite 270
Council Bluffs, IA 51503-9045
Phone
(712) 256-7511
Fax
(712) 256-9766
NPI assigned
Jun 2, 2006
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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 00764 IA Primary

Addresses

Primary practice location

300 W Broadway
Suite 270
Council Bluffs, IA 51503-9045

Mailing address

300 W Broadway
Suite 270
Council Bluffs, IA 51503-9045
Phone (712) 256-7511

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240517002230 IA Practitioner - Mental Health Counselor 7416960646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Horizon Therapy Group LLCGroup PAC ID 0244243475, 10 clinicians

Practice addresses (Care Compare)

300 W Broadway
Suite 270
Council Bluffs, IA 51503-9028
Phone (712) 256-7511

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00764IAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Therapy Group, LLC CurrentSince Apr 22, 2024 Accepting new patients

Locations

300 W Broadway
Ste 270
Council Bluffs, IA 51503
Phone (712) 256-7511

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1265479653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W BROADWAY",
            "address_2": "SUITE 270",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515039045",
            "telephone_number": "712-256-7511",
            "fax_number": "712-256-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W BROADWAY",
            "address_2": "SUITE 270",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515039045",
            "telephone_number": "712-256-7511",
            "fax_number": "712-256-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVO-MCGINN",
        "first_name": "PATRICIA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2024-04-16",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.