Individual provider Active NPI

Evelyn M Palm, LMHC

  • Mental Health Counselor
  • Clinton, IA
National Provider Identifier
1417171984
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00685 Issued in IA
Practice address
132 6TH Ave S
Clinton, IA 52732-4103
Phone
(563) 758-8480
Fax
(563) 205-5397
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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 00685 IA Primary

Addresses

Primary practice location

132 6TH Ave S
Clinton, IA 52732-4103

Mailing address

132 6TH Ave S
Clinton, IA 52732-4103
Phone (563) 758-8480

Other identifiers 1

IdentifierTypeStateIssuer
00685OtherIALMHC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250606002445 IA Practitioner - Mental Health Counselor 8820508005 Practice locations: Clinton, IA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

132 6TH Ave S
Clinton, IA 52732-4103
Phone (583) 758-8480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00685IAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Wellness Center LLC Mental Health PastSince Sep 28, 2006 Accepting new patients
Excelsior Ranch PastSince May 25, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1417171984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 6TH AVE S",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527324103",
            "telephone_number": "563-758-8480",
            "fax_number": "563-205-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 6TH AVE S",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527324103",
            "telephone_number": "563-758-8480",
            "fax_number": "563-205-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALM",
        "first_name": "EVELYN",
        "middle_name": "M",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "00685",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

Verify at the official NPI Registry.