Integrative Counseling Practices

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

INTEGRATIVE COUNSELING PRACTICES

Practice address

1728 Central Ave Ste 10
Fort Dodge, IA 50501-4200

Phone

(712) 790-9318

Fax

(515) 598-8545

NPI assigned

Aug 6, 2020

Organization subpart

No

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

Authorized official

Name

Gina Lea Stork, LMHCNPI 1801213871

Title

Member

Phone

(712) 790-9318

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Stork, LMHC

  • Mental Health Counselor
  • Lake City, IA
  • NPI 1801213871
  NPD (past) Authorized official

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1376153106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3662 GARBER AVE",
            "city": "LAKE CITY",
            "state": "IA",
            "postal_code": "514497554",
            "telephone_number": "712-790-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 CENTRAL AVE STE 10",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014200",
            "telephone_number": "712-790-9318",
            "fax_number": "515-598-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE COUNSELING PRACTICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "STORK",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "712-790-9318",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William David Huseman, D.C.
• Mary Beth Hutchinson, ARNP
• Hy-Vee Inc (Hy-Vee Pharmacy (1192))
• David Ilceski, M.D.
• Taylor Illg
• Iowa Central Community College
• Iowa Central Industries
• Iowa Central Industries
• Iowa Central Industries
• Iowa Central Industries

• Mental Health Counselor in Fort Dodge, IA
• Providers in Fort Dodge, 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 Aug 31, 2020; 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.