Tania Covarrubias

Individual provider Active NPI Mental Health Counselor · Marshalltown, IA

NPI 1659150787 · NPPES record last updated Sep 27, 2023

Key facts

NPI
1659150787
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
15 E Southridge Rd
Marshalltown, IA 50158-4550
Phone
(641) 351-4003
Fax
(641) 351-4968
NPI assigned
Sep 27, 2023
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Wild Spirit Counseling, LLC Mental Health Current
since Oct 1, 2023
Accepting new patients

Locations

15 E Southridge Rd
Marshalltown, IA 50158
Phone (641) 351-4003

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

15 E Southridge Rd
Marshalltown, IA 50158-4550

Mailing address

15 E Southridge Rd
Marshalltown, IA 50158-4550
Phone (641) 351-4003

Other providers in Marshalltown, IA

All providers in Marshalltown, IA · Mental Health Counselor in Iowa

Sources for this page

Verify at the official NPI Registry.