Individual provider Active NPI

Laura Lynn Housel

  • Mental Health Counselor
  • North Liberty, IA
National Provider Identifier
1598412108
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
097227 Issued in IA
Practice address
3418 200TH St NE
North Liberty, IA 52317-9217
Phone
(515) 505-8091
NPI assigned
Mar 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 097227 IA Primary

Addresses

Primary practice location

3418 200TH St NE
North Liberty, IA 52317-9217

Mailing address

3418 200TH St NE
North Liberty, IA 52317-9217
Phone (515) 505-8091

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL laura.rebellehouse@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 31, 2024 through Jan 31, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
097227IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Full Heart Family Therapy and Renewal Center LLC Mental Health Past Accepting new patients

Organizations & group practices 1

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": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1598412108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 200TH ST NE",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179217",
            "telephone_number": "515-505-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 200TH ST NE",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179217",
            "telephone_number": "515-505-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSEL",
        "first_name": "LAURA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "097227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laura.rebellehouse@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3418 200th St NE",
            "city": "North Liberty",
            "state": "IA",
            "country_code": "US",
            "postal_code": "523179217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

Verify at the official NPI Registry.