Brian Koelewyn, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

076876 Issued in IA

Practice address

180 10TH St SE Ste 201
Le Mars, IA 51031-2557

Phone

(712) 546-4624

Fax

(712) 546-9395

NPI assigned

Jun 15, 2015

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

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.

• Plains Area Mental Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Le Mars, IA
  • NPI 1356198147

  IA

  Medicare reassignment NPD
• Plains Area Mental Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Le Mars, IA
  • NPI 1801867734
  NPD
• Family Solutions Services, Inc.

  • Community/Behavioral Health Agency
  • Orange City, IA
  • NPI 1891870374
  NPD (past)

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1306227475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 10TH ST SE STE 201",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510312557",
            "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": "180 10TH ST SE STE 201",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510312557",
            "telephone_number": "712-546-4624",
            "fax_number": "712-546-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOELEWYN",
        "first_name": "BRIAN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-15",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "076876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Joseph Kehrwald, LISW
• Kassie Kleinhesselink, B.A
• Kneip Chiropractic & Acupuncture
• Conor Robert Kneip, DC
• Sean Knight, DO
• Brooke Autumn Konz, MD
• Frances Konz
• Kay Lynn Kosters, PA-C
• Amber C Kruger, RN
• Arthur D. Krull, D.C.

• Mental Health Counselor in Le Mars, IA
• Providers in Le Mars, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.