Individual provider Active NPI

Alisha Hinzmann

  • Mental Health Counselor
  • Council Bluffs, IA
National Provider Identifier
1609637636
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IOWBPL013312294 Issued in IA
Practice address
1720 N 16TH St Ste K
Council Bluffs, IA 51501-0109
Phone
(712) 256-4420
NPI assigned
Jan 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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 IOWBPL013312294 IA Primary

Addresses

Primary practice location

1720 N 16TH St Ste K
Council Bluffs, IA 51501-0109

Mailing address

1720 N 16TH St Ste K
Council Bluffs, IA 51501-0109

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
I20260121000122 IA Practitioner - Mental Health Counselor 6204313323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Connections IncGroup PAC ID 9234550419, 15 clinicians

Practice addresses (Care Compare)

1720 N 16TH St
Suite K
Council Bluffs, IA 51501-0109
Phone (712) 256-4420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IOWBPL013312294IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Connections, Inc CurrentSince Dec 13, 2025 Accepting new patients

Locations

1720 N 16th St
Ste K
Council Bluffs, IA 51501
Phone (712) 256-4420

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": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1609637636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 N 16TH ST STE K",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515010109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 N 16TH ST STE K",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515010109",
            "telephone_number": "712-256-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINZMANN",
        "first_name": "ALISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "IOWBPL013312294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.