Active NPI
Nicole Jean Hoag, LMSW
- Mental Health Counselor
- Fort Dodge, IA
National Provider Identifier
1346714201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 06295
- Practice address
- 301 Avenue M W
Fort Dodge, IA 50501-5623 - Phone
- (515) 955-4222
- NPI assigned
- Jan 14, 2019
- 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 | 06295 | IA | Primary |
Addresses
Primary practice location
301 Avenue M W
Fort Dodge, IA 50501-5623
Mailing address
1611 Elmhurst Ave
Humboldt, IA 50548-1803
Phone (515) 350-9250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06295 | IA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547424000000",
"number": "1346714201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 ELMHURST AVE",
"city": "HUMBOLDT",
"state": "IA",
"postal_code": "505481803",
"telephone_number": "515-350-9250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 AVENUE M W",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "505015623",
"telephone_number": "515-955-4222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOAG",
"first_name": "NICOLE",
"middle_name": "JEAN",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-14",
"last_updated": "2019-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "06295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Dodge, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.