Sogc Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOGC INC

Practice address

14542 61St Ave.
Blue Grass, IA 52726-9592

Phone

(563) 381-4649

Fax

(563) 381-4649

NPI assigned

Feb 4, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Lee Potthast, LMHC, LMTNPI 1053562793

Title

Director of Therapeutic Services

Phone

(563) 381-4649

Specialties & licenses 1

Addresses

Other names 1

• HOPE Enrichment Cnsling Ctr Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Lee Potthast, LMHC,LMT

  • Mental Health Counselor
  • Blue Grass, IA
  • NPI 1053562793
  NPD (past) Authorized official
• Edith Allene Little, LISW

  • Social Worker
  • Blue Grass, IA
  • NPI 1316198054
  NPD (past)

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1619155504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14542 61ST AVE.",
            "city": "BLUE GRASS",
            "state": "IA",
            "postal_code": "527269592",
            "telephone_number": "563-381-4649",
            "fax_number": "563-381-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14542 61ST AVE.",
            "city": "BLUE GRASS",
            "state": "IA",
            "postal_code": "527269592",
            "telephone_number": "563-381-4649",
            "fax_number": "563-381-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOGC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "POTTHAST",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR OF THERAPEUTIC SERVICES",
        "authorized_official_telephone_number": "563-381-4649",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC, LMT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOPE Enrichment Cnsling Ctr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marie Catherine Ripslinger-Atwater, D.C.
• Nikki Leigh Sander
• Emily Schadt, ARNP
• Signature Chiropractic LLC
• Soaring Arrows
• Rene R Teel-Mulka, P.T., D.P.T., O.C.S.
• United Therapy Services
• Angela Wulf, D.C.

• Community/Behavioral Health Agency in Blue Grass, IA
• Providers in Blue Grass, IA by specialty
• Community/Behavioral Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.