Individual provider Active NPI

Mary Margaret Lynch, CRC, LMHC

  • Mental Health Counselor
  • Independence, IA
National Provider Identifier
1659749596
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001344 Issued in IA
Practice address
2349 Jamestown Ave
Independence, IA 50644-9709
Phone
(319) 499-5366
Fax
(319) 499-5366
NPI assigned
Sep 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X 00113598 IA
Mental Health Counselor 101YM0800X 001344 IA Primary

Addresses

Primary practice location

2349 Jamestown Ave
Independence, IA 50644-9709

Mailing address

2349 Jamestown Ave
Independence, IA 50644-9709
Phone (319) 499-5366

Other practice location 1

1800 19th St
Rock Valley, IA 51247-1058
Phone (712) 476-3281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00113598IAMDRehabilitation Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peoples Community Health Clinic, Inc CurrentSince Jan 1, 2024 Accepting new patients
Peoples Community Health Clinic, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Peoples Community Health Clinic, Inc Current Accepting new patients

Locations

905 Franklin St
Waterloo, IA 50703
Phone (319) 272-4300

Organizations & group practices 3

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": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1659749596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2349 JAMESTOWN AVE",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506449709",
            "telephone_number": "319-499-5366",
            "fax_number": "319-499-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2349 JAMESTOWN AVE",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506449709",
            "telephone_number": "319-499-5366",
            "fax_number": "319-499-5366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 19th St",
            "address_purpose": "LOCATION",
            "city": "Rock Valley",
            "state": "IA",
            "postal_code": "512471058",
            "country_code": "US",
            "telephone_number": "712-476-3281",
            "fax_number": "712-476-2970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "CRC, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "IA",
            "license": "00113598",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, IA

Sources for this page

Verify at the official NPI Registry.