Individual provider Active NPI

Lynne Gail Frease McMahan, M.S., LMHC

  • Mental Health Counselor
  • Orange City, IA
National Provider Identifier
1386718856
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001072 Issued in IA
Practice address
400 Central Ave NW Ste 1300
Orange City, IA 51041-1331
Phone
(712) 707-9988
Fax
(712) 707-9961
NPI assigned
Nov 17, 2006
Last updated
Apr 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 001072 IA Primary

Addresses

Primary practice location

400 Central Ave NW Ste 1300
Orange City, IA 51041-1331

Mailing address

400 Central Ave NW Ste 1300
Orange City, IA 51041-1331
Phone (712) 707-9988

Other identifiers 1

IdentifierTypeStateIssuer
11249MedicaidIA

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
001072IAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1386718856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CENTRAL AVE NW STE 1300",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411331",
            "telephone_number": "712-707-9988",
            "fax_number": "712-707-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CENTRAL AVE NW STE 1300",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411331",
            "telephone_number": "712-707-9988",
            "fax_number": "712-707-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREASE MCMAHAN",
        "first_name": "LYNNE",
        "middle_name": "GAIL",
        "name_prefix": "Mr.",
        "credential": "M.S., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11249",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.