Nicolette Banes

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2240 9TH St
Coralville, IA 52241-1575

Phone

(319) 800-5564

NPI assigned

May 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 22, 2024 through Oct 22, 2026

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Green Counseling Services PLLC

  • Mental Health Counselor
  • Coralville, IA
  • NPI 1528564762
  NPD

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1568036093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 9TH ST",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411575",
            "telephone_number": "319-800-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 9TH ST",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411575",
            "telephone_number": "319-800-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANES",
        "first_name": "NICOLETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Bair, MS, RDN, LD
• Heather Nicole Baird, CF-SLP
• Kari A Bakeris, D.C.
• Mark A Bakeris, D.C.
• Cledelene Joy Baloy, MA
• Botond Banfi, M.D.
• Hussain Banu, MBBS
• Emily Rose Barnes
• Kathy Jo Barnhart
• Philomena Rose Barr Maloney

• Mental Health Counselor in Coralville, IA
• Providers in Coralville, 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 Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.