Individual provider Active NPI

Lea Sieren, LISW

  • Counselor
  • Ottumwa, IA
National Provider Identifier
1538264445
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
00831 Issued in IA
Practice address
1112 N Van Buren Ave
Ottumwa, IA 52501-6416
Phone
(641) 684-7744
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 00831 IA Primary

Addresses

Primary practice location

1112 N Van Buren Ave
Ottumwa, IA 52501-6416

Mailing address

1112 N Van Buren Ave
Ottumwa, IA 52501-6416
Phone (641) 684-7744

Other identifiers 5

IdentifierTypeStateIssuer
11698OtherIAINDIVIDUAL PROVIDER #
43609OtherIAINDIVIDUAL PROVIDER #
421525352-02OtherIAINDIVIDUAL PROVIDER #
2776088MedicaidIA
260048928OtherIAINDIIDUAL PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00831IAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ottumwa Psychiatric Clinic PC Past Accepting new patients
Ottumwa Mental Wellness Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1538264445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 N VAN BUREN AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016416",
            "telephone_number": "641-684-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 N VAN BUREN AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016416",
            "telephone_number": "641-684-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEREN",
        "first_name": "LEA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IA",
            "license": "00831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER #",
            "identifier": "11698",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER #",
            "identifier": "43609",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER #",
            "identifier": "421525352-02",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2776088",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIIDUAL PROVIDER #",
            "identifier": "260048928",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottumwa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.