Individual provider Active NPI

Katherine Strub, LMHC, M.A, NCC

  • Mental Health Counselor
  • Waterloo, IA
National Provider Identifier
1609005610
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001141 Issued in IA
Practice address
722 Water St
Suite #403
Waterloo, IA 50703-4738
Phone
(319) 404-2574
Fax
(319) 232-6846
NPI assigned
Jul 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 001141 IA Primary

Addresses

Primary practice location

722 Water St
Suite #403
Waterloo, IA 50703-4738

Mailing address

722 Water St
Suite #403
Waterloo, IA 50703-4738
Phone (319) 404-2574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231121000694 IA Practitioner - Mental Health Counselor 1557719184 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Memorial Hospital Corporation CurrentSince Jan 1, 2024 Accepting new patients
Allen Memorial Hospital Corporation CurrentSince Jan 1, 2024 Accepting new patients

Locations

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

212 W Dale St
Ste 102
Waterloo, IA 50703
Phone (319) 226-2345

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": "1247270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293408000000",
    "number": "1609005610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 WATER ST",
            "address_2": "SUITE #403",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507034738",
            "telephone_number": "319-404-2574",
            "fax_number": "319-232-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 WATER ST",
            "address_2": "SUITE #403",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507034738",
            "telephone_number": "319-404-2574",
            "fax_number": "319-232-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUB",
        "first_name": "KATHERINE",
        "credential": "LMHC, M.A, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-11",
        "last_updated": "2010-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.