Organization Active NPI

Mindworks Therapy Services

  • Clinical Social Worker
  • Waterloo, IA
National Provider Identifier
1619535507
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MINDWORKS THERAPY SERVICES
Practice address
110 Plaza Cir Ste B
Waterloo, IA 50701-5139
Phone
(319) 830-1410
NPI assigned
Jun 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Mackenzie FlotNPI 1497035596
Title
Lisw
Phone
(319) 830-1410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

110 Plaza Cir Ste B
Waterloo, IA 50701-5139

Mailing address

3301 Cedar Heights Dr
Cedar Falls, IA 50613-6041
Phone (319) 519-1335

Other practice location 1

3301 Cedar Heights Dr
Cedar Falls, IA 50613-6041
Phone (319) 519-1335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190731000468 IA Part B Supplier - Clinic/Group Practice 7618203522 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar Falls, IA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1619535507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 CEDAR HEIGHTS DR",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506136041",
            "telephone_number": "319-519-1335",
            "fax_number": "319-519-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PLAZA CIR STE B",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015139",
            "telephone_number": "319-830-1410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 Cedar Heights Dr",
            "address_purpose": "LOCATION",
            "city": "Cedar Falls",
            "state": "IA",
            "postal_code": "506136041",
            "country_code": "US",
            "telephone_number": "319-519-1335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDWORKS THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "FLOT",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_title_or_position": "LISW",
        "authorized_official_telephone_number": "319-830-1410"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.