Theresa Reckling, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000393 Issued in IA

Practice address

205 Washington St Ste 200
Burlington, IA 52601-5261

Phone

(319) 208-1280

NPI assigned

Apr 1, 2013

Sex

Female

Sole proprietor

Yes

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

Marriage and Family Therapist

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

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 and National Provider Directory roles.

• Innovative Family Therapy & Play Therapy Center LLC

  • Marriage & Family Therapist
  • Burlington, IA
  • NPI 1497219653
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1285977934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WASHINGTON ST STE 200",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526015261",
            "telephone_number": "319-208-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WASHINGTON ST STE 200",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526015261",
            "telephone_number": "319-208-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECKLING",
        "first_name": "THERESA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "000393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle S Prisner, DNP FNP-BC PMHNP-BC
• Thomas Lee Ralston, DDS
• Carmen Ramirez-Kinsey, LMHC
• Bradley A Randolph, D.D.S.
• Kelly S Rankin, RN
• Denise Reichman, RN
• Shannon Rachelle Reif, D.C.
• Rescare, Inc
• Hilary A Reynolds, DDS
• Matthew Reynolds

• Marriage & Family Therapist in Burlington, IA
• Providers in Burlington, IA by specialty
• Marriage & Family Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.