Dawn Marie Clements

Individual provider Active NPI Mental Health Counselor · Milford, IA

NPI 1376159665 · NPPES record last updated Sep 22, 2020

Key facts

NPI
1376159665
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
096572 (IA)
Practice address
910 10TH St
Milford, IA 51351-1530
Phone
(712) 338-6200
NPI assigned
Sep 22, 2020
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elevate Therapy and Assessment, PLLC (9 clinicians)

Practice addresses (Care Compare)

2102 N Ave
Elevate Therapy and Assessment
Milford, IA 51351-1249
Phone (712) 338-6200

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20231219002678 IA Practitioner - Mental Health Counselor 4688024557 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Therapy & Assessment, PLLC Current
since Nov 15, 2023
Accepting new patients
Champion State of Mind PLLC Mental Health Past
since Sep 27, 2020
Accepting new patients

Locations

910 10th St
Milford, IA 51351
Phone (712) 338-6200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 096572 IA Yes

Addresses

Primary practice location

910 10TH St
Milford, IA 51351-1530

Mailing address

1527 West St
Grinnell, IA 50112-1444
Phone (641) 990-3716

Other providers in Milford, IA

All providers in Milford, IA · Mental Health Counselor in Iowa

Sources for this page

Verify at the official NPI Registry.