Iris L Senogles, LACD

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

301636 Issued in MN

Practice address

2086 Ridgeway Dr
Grand Rapids, MN 55744-4421

Phone

(218) 327-9944

NPI assigned

Apr 23, 2007

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

Other names 1

• Iris Stanley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336367531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2086 RIDGEWAY DR",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2086 RIDGEWAY DR",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444421",
            "telephone_number": "218-327-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENOGLES",
        "first_name": "IRIS",
        "middle_name": "L",
        "credential": "LACD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "301636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRIS",
            "last_name": "STANLEY",
            "credential": "LADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Schroeder
• Matthew S Schroeder, D.D.S.
• Stephen D Schroeder, D.D.S.
• Savannah Seeger-Richardson, MD
• Jennifer Anne Senn
• Danielle Beaudette Sergot, PHARM.D
• Shari E. Aultman DC (Healing Hands Chiropractic Center)
• Jennifer Sheppard, MSW, LICSW
• Sherman and Hallie DDS PA
• Charles Edward Sherman, DDS

• Addiction (Substance Use Disorder) Counselor in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.