Seasons Center for Mental Health
Organization Active NPI Addiction (Substance Use Disorder) Counselor · Spencer, IA
NPI 1487900965 · NPPES record last updated Aug 2, 2012
Key facts
- NPI
- 1487900965
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 05041 (IA)
- Legal business name
- SEASONS CENTER FOR MENTAL HEALTH
- Practice address
- 201 E 11TH St
Spencer, IA 51301-4436 - Phone
- (800) 242-5101
- Fax
- (712) 264-3177
- NPI assigned
- Aug 2, 2012
- Organization subpart
- No
Authorized official
- Name
- Mrs. Brenna A. Koedam, LMHC, IADC
- Title
- Substance Abuse Services Supervisor
- Phone
- (800) 242-5101
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Northwest Mental HLTH C
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/ed13fa1e-5e6c-45da-822a-ab9435740c2e/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | 05041 | IA | Yes |
| Mental Health Counselor |
101YM0800X | 001530 | IA |
Addresses
Primary practice location
201 E 11TH St
Spencer, IA 51301-4436
Mailing address
201 E 11TH St
Spencer, IA 51301-4436
Phone (800) 242-5101
Other providers in Spencer, IA
- Bria Schoelerman
- Bryanne Schroeder
- Matthew Dale Schulte
- Schwartz Harvest Chiro CLC
- Douglas John Schwartz
- Karen Marie Sedlacek
- Samantha Sheffield
- T. R. Shively
- Kathryn Lynanne Shriver
- Carly Mae Siebels
All providers in Spencer, IA · Addiction (Substance Use Disorder) Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.