Active NPI
Lonnie Lee Stuckey II
- Mental Health Counselor
- Iowa City, IA
National Provider Identifier
1437672128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 083416
- Practice address
- 430 Southgate Ave
Iowa City, IA 52240-4425 - Phone
- (319) 351-4357
- NPI assigned
- Jul 25, 2017
- Last updated
- Jul 25, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 083416 | KS | Primary |
Addresses
Primary practice location
430 Southgate Ave
Iowa City, IA 52240-4425
Mailing address
415 N Dubuque St
North Liberty, IA 52317-9781
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251124001727 | SD | Practitioner - Mental Health Counselor | 6507358934 | Practice locations: Hot Springs, SD |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
213 N 16TH St
Hot Springs, SD 57747-1374
Phone (605) 229-9303
PO Box
Suite 478
Hot Springs, SD 57747
PO Box
Suite 53
Custer, SD 57730-0053
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 083416 | KS | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gabissa LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500940800000",
"number": "1437672128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 N DUBUQUE ST",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523179781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 SOUTHGATE AVE",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522404425",
"telephone_number": "319-351-4357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUCKEY",
"first_name": "LONNIE",
"middle_name": "LEE",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-25",
"last_updated": "2017-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KS",
"license": "083416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.