Individual provider Active NPI

Mindi Jo Rotert, LMSW

  • Social Worker
  • Audubon, IA
National Provider Identifier
1366387367
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
137765 Issued in IA
Practice address
515 Pacific Ave Ste 1
Audubon, IA 50025-1056
Phone
(712) 563-5285
Fax
(712) 563-5277
NPI assigned
Apr 23, 2026
Last updated
Jun 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 137765 IA Primary

Addresses

Primary practice location

515 Pacific Ave Ste 1
Audubon, IA 50025-1056

Mailing address

515 Pacific Ave Ste 1
Audubon, IA 50025-1056
Phone (712) 563-5285

Other practice location 1

322 E 6th St
Carroll, IA 51401-2501
Phone (712) 563-5285

Other identifiers 2

IdentifierTypeStateIssuer
0140292MedicaidIA
1140292MedicaidIA

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

LicenseStateTypeSpecialty
137765IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Touching Lives Center, LLC Clinical PastSince Sep 5, 2024 Accepting new patients
Counseling Services, LLC Clinical PastSince Aug 23, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1776902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1366387367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 PACIFIC AVE STE 1",
            "city": "AUDUBON",
            "state": "IA",
            "postal_code": "500251056",
            "telephone_number": "712-563-5285",
            "fax_number": "712-563-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 PACIFIC AVE STE 1",
            "city": "AUDUBON",
            "state": "IA",
            "postal_code": "500251056",
            "telephone_number": "712-563-5285",
            "fax_number": "712-563-5277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 E 6th St",
            "address_purpose": "LOCATION",
            "city": "Carroll",
            "state": "IA",
            "postal_code": "514012501",
            "country_code": "US",
            "telephone_number": "712-563-5285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTERT",
        "first_name": "MINDI",
        "middle_name": "JO",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-23",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "137765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140292",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1140292",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Audubon, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.