Organization Active NPI

Rural Family Therapy Services, LLC

  • Mental Health Counselor
  • Creston, IA
National Provider Identifier
1437139706
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
01250 01222 Issued in IA
Legal business name
RURAL FAMILY THERAPY SERVICES, LLC
Practice address
505 E Taylor St
Creston, IA 50801-4057
Phone
(641) 782-7212
Fax
(641) 347-5060
NPI assigned
Jan 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Pat L. Lowenberg, L.I.S.W.NPI 1487689501
Title
Therapist/Administrator
Phone
(641) 782-7212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 01250 01222 IA Primary

Addresses

Primary practice location

505 E Taylor St
Creston, IA 50801-4057

Mailing address

PO Box 361
Afton, IA 50830-0361
Phone (641) 347-5060

Other identifiers 4

IdentifierTypeStateIssuer
01199OtherIAWELLMARK NUMBER
36217OtherIAWELLMARK NUMBER
29-88-001OtherIAIA POS PROVIDER #
0010215MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Rural Family Therapy Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437139706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361",
            "city": "AFTON",
            "state": "IA",
            "postal_code": "508300361",
            "telephone_number": "641-347-5060",
            "fax_number": "641-347-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E TAYLOR ST",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508014057",
            "telephone_number": "641-782-7212",
            "fax_number": "641-347-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL FAMILY THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LOWENBERG",
        "authorized_official_first_name": "PAT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "THERAPIST/ADMINISTRATOR",
        "authorized_official_telephone_number": "641-782-7212",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.I.S.W."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "01250  01222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK NUMBER",
            "identifier": "01199",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK NUMBER",
            "identifier": "36217",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA POS PROVIDER #",
            "identifier": "29-88-001",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010215",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Creston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.