Shanen Taylor

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

109464 Issued in IA

Practice address

304 S Locust St
Glenwood, IA 51534-1825

Phone

(712) 527-2823

Fax

(712) 527-4193

NPI assigned

Jul 13, 2021

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

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Connections IncGroup PAC ID 9234550419, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Connections, Inc

  • Case Management Agency
  • Council Bluffs, IA
  • NPI 1740357300
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1457923153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S LOCUST ST",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "515341825",
            "telephone_number": "712-527-2823",
            "fax_number": "712-527-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S LOCUST ST",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "515341825",
            "telephone_number": "712-527-2823",
            "fax_number": "712-527-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SHANEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "109464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "109464",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy Lea Squier
• Angela Louise Stanley, MPT
• Cheryl L Stewart, OTD, OTR/L
• Stromgren Chiropractic PA
• Tracy A Stromgren, DC
• Steven Lee Taylor, BCBA
• Judy Thomas
• Jennifer Van Meeteren, APRN-NP
• Angela Joy Wahle, PHARMD
• Weber Dental

• Mental Health Counselor in Glenwood, IA
• Providers in Glenwood, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.

Verify at the official NPI Registry.