Individual provider Active NPI

Rita Marie Menart, LMHC

  • Mental Health Counselor
  • Waterloo, IA
National Provider Identifier
1417223363
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001055 Issued in IA
Practice address
2101 Kimball Ave.
Suite 138
Waterloo, IA 50702
Phone
(319) 272-2080
NPI assigned
Mar 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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 001055 IA Primary

Addresses

Primary practice location

2101 Kimball Ave.
Suite 138
Waterloo, IA 50702

Mailing address

2360 Carter Rd
Dubuque, IA 52001-2933
Phone (563) 542-9962

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
I20231205002879 IA Practitioner - Mental Health Counselor 2264881077 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001055IAMDMental Health Counselor
01055IAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of the Archdiocese of Dubuque Iowa CurrentSince Jan 1, 2024 Accepting new patients

Locations

1229 Mount Loretta Ave
Dubuque, IA 52003
Phone (563) 588-0558

Organizations & group practices 1

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": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1417223363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 CARTER RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520012933",
            "telephone_number": "563-542-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 KIMBALL AVE.",
            "address_2": "SUITE 138",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "50702",
            "telephone_number": "319-272-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENART",
        "first_name": "RITA",
        "middle_name": "MARIE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.