Vincent Psychotherapy Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

03057 Issued in IA

Legal business name

VINCENT PSYCHOTHERAPY SERVICES

Practice address

757 W Benton St
Iowa City, IA 52246-5953

Phone

(319) 339-4757

Fax

(608) 299-1224

NPI assigned

Nov 8, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Christine Marie Vincent, LISWNPI 1013014703

Title

President

Phone

(319) 339-4757

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 1

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

• Christine Marie Vincent, LISW

  • Mental Health Counselor
  • Iowa City, IA
  • NPI 1013014703
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1508379819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 W BENTON ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522465953",
            "telephone_number": "319-339-4757",
            "fax_number": "608-299-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 W BENTON ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522465953",
            "telephone_number": "319-339-4757",
            "fax_number": "608-299-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT PSYCHOTHERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-339-4757",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "03057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074591",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sumathi Vijaya Rangan, MD
• Sivasubramani Vijayalakshmi Palanivelu, MBBS
• Raul Antonio Villacreses, M.D.
• David Villanueva, CRNA
• Cameron Michael Villarreal
• Albert Lesko Vincent, PHARMD
• Christine Marie Vincent, LISW
• Steven Douglas Vincent, DDS
• Vanessa Vincent, PHARMD
• Thomas Frederic Viner, MD

• Mental Health Counselor in Iowa City, IA
• Providers in Iowa City, 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 Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.