Moxie Nova

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MOXIE NOVA

Practice address

1820 Central Ave
Estherville, IA 51334-2409

Phone

(712) 340-7323

Fax

(712) 560-9088

NPI assigned

Jun 16, 2023

Last updated

Feb 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Jade OlsonNPI 1558794099

Title

Owner & Ceo

Phone

(712) 340-7323

Specialties & licenses 2

Addresses

Other names 2

• Moxie Nova Other name
• Moxie Nova Therapy Other name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Olson, LMHC

  • Mental Health Counselor
  • Estherville, IA
  • NPI 1558794099
  Medicare reassignment Care Compare group NPD Authorized official
• Samantha Graham, LMHC

  • Mental Health Counselor
  • Le Mars, IA
  • NPI 1073037420
  Medicare reassignment Care Compare group NPD
• Madison Gabrielle Wagner, LMHC, NCC

  • Mental Health Counselor
  • Estherville, IA
  • NPI 1598379752
  Medicare reassignment NPD

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1609551787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "ESTHERVILLE",
            "state": "IA",
            "postal_code": "513340308",
            "telephone_number": "712-340-7323",
            "fax_number": "712-560-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 CENTRAL AVE",
            "city": "ESTHERVILLE",
            "state": "IA",
            "postal_code": "513342409",
            "telephone_number": "712-340-7323",
            "fax_number": "712-560-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOXIE NOVA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "JADE",
        "authorized_official_title_or_position": "OWNER & CEO",
        "authorized_official_telephone_number": "712-340-7323"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moxie Nova",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Moxie Nova",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Moxie Nova Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Counselor in Estherville, IA
• Providers in Estherville, 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 Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.