Mary Elizabeth Pepples, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

211 Avenue M W
Fort Dodge, IA 50501-5789

Phone

(515) 576-7261

Fax

(515) 955-7652

NPI assigned

Jun 12, 2020

Last updated

Jun 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1396360632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 AVENUE M W",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015789",
            "telephone_number": "515-576-7261",
            "fax_number": "515-955-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 AVENUE M W",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015789",
            "telephone_number": "515-576-7261",
            "fax_number": "515-955-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPLES",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Jo Pearson, FNP
• Sarah Pearson
• David Peck
• Rachel Francine Pederson, RD,LD
• Aaron L Peimann, MD
• Francisco G Peralta, MD
• Adrianne K Peters
• Kathleen Ann Peterson, LPN
• Tammy Jo Peyton, D.P.M.
• Sara Phothisen

• Addiction (Substance Use Disorder) Counselor in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Addiction (Substance Use Disorder) Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.