Caroline Obermiller, MHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2014012332 Issued in MO

Practice address

103 E 5TH St
Malvern, IA 51551-8115

Phone

(636) 253-3503

NPI assigned

Apr 30, 2014

Sex

Female

Sole proprietor

Yes

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.

• Therapy Place, Inc.

  • Clinical Social Worker
  • Atlantic, IA
  • NPI 1194886028

  IA

  Medicare reassignment NPD

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 19, 2024.

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1649680596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 MARION AVE",
            "city": "MALVERN",
            "state": "IA",
            "postal_code": "515514089",
            "telephone_number": "636-253-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E 5TH ST",
            "city": "MALVERN",
            "state": "IA",
            "postal_code": "515518115",
            "telephone_number": "636-253-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERMILLER",
        "first_name": "CAROLINE",
        "credential": "MHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-30",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2014012332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malvern C.S.D.
• Malvern Volunteer Rescue, Inc.
• Manor of Malvern Inc.
• Montgomery County Memorial Hospital
• Morse Healthcare Services Inc.
• Physicians Clinic, Inc.
• Megan Jo Platt, ARNP
• Kaleb Richter, PTA, CPT
• Sakrx, LLC
• Sakrx, LLC

• All providers in Malvern, IA
• Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.