Miriam McConnell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

Ebersole Center
600 First Street SW
Mount Vernon, IA 52314-1098

Phone

(319) 895-4292

NPI assigned

Aug 15, 2022

Last updated

Aug 15, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mercy Physican Associates Inc

  dba MercyCare Health at Cornell Ebersole

  • Family Medicine Physician
  • Mount Vernon, IA
  • NPI 1861215030
  NPD

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1548988702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CORNELL COLLEGE ATTN: EBERSOLE CENTER BOX 1625",
            "address_2": "600 FIRST STREET SW",
            "city": "MOUNT VERNON",
            "state": "IA",
            "postal_code": "523141098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EBERSOLE CENTER",
            "address_2": "600 FIRST STREET SW",
            "city": "MOUNT VERNON",
            "state": "IA",
            "postal_code": "523141098",
            "telephone_number": "319-895-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "MIRIAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisbon - Mt Vernon Ambulance Service
• Rebecca Rae Louison, T-LMFT
• Matthew John Margheim, M.S.,PT
• Alexander D Martin, PHARM.D.
• Emily Martin, LAT, ATC
• Olivia McGowan
• Monica Ann Meeker, MD
• Stephanie Ann Meier, D.P.T.
• Mercy Physican Associates Inc (MercyCare Health at Cornell Ebersole)
• Mercy Physician Associates, Inc (MercyCare Mt. Vernon)

• Mental Health Counselor in Mount Vernon, IA
• Providers in Mount Vernon, 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 Aug 15, 2022; 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.