Active NPI
Karen Haas Misseldine, LMHC
- Mental Health Counselor
- Decorah, IA
National Provider Identifier
1336512409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 079820
- Practice address
- 314 W Main St
Decorah, IA 52101-1716 - Phone
- (563) 419-1105
- NPI assigned
- Nov 11, 2015
- 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 | 079820 | IA | Primary |
Addresses
Primary practice location
314 W Main St
Decorah, IA 52101-1716
Mailing address
314 W Main St
Decorah, IA 52101-1716
Phone (563) 419-1105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 29, 2024 through Jan 29, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079820 | IA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447200000000",
"number": "1336512409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 W MAIN ST",
"city": "DECORAH",
"state": "IA",
"postal_code": "521011716",
"telephone_number": "563-419-1105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 W MAIN ST",
"city": "DECORAH",
"state": "IA",
"postal_code": "521011716",
"telephone_number": "563-419-1105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISSELDINE",
"first_name": "KAREN",
"middle_name": "HAAS",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-11",
"last_updated": "2015-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "079820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decorah, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.