Pella Counseling PLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

PELLA COUNSELING PLC

Practice address

1535 Terrace Dr
Pella, IA 50219-1048

Phone

(641) 629-0391

NPI assigned

Oct 21, 2020

Organization subpart

No

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

Authorized official

Name

Regina Vaverka

Title

Support

Phone

(785) 545-6226

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Lindsay Michelle Fikkert, PSY.D.

  • Mental Health Counselor
  • Hinsdale, IL
  • NPI 1235550260
  NPD (past)
• Steven James Runner, TLLP

  • Psychologist
  • Grandville, MI
  • NPI 1720282668
  NPD (past)

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1659970622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 TERRACE DR",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191048",
            "telephone_number": "641-629-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 TERRACE DR",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191048",
            "telephone_number": "641-629-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELLA COUNSELING PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "VAVERKA",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "SUPPORT",
        "authorized_official_telephone_number": "785-545-6226"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carie Rae Parks, PHARM D
• Stephanie Patin
• Luke B Pavlat
• Whitney Pavlat, ATS
• Pella Community Ambulance Service
• Pella CSD
• Pella Family Chiropractic PC
• Pella Health & Fitness PC
• Pella Imaging Consultants, Inc
• Pella Regional Health Center

• Psychologist in Pella, IA
• Providers in Pella, IA by specialty
• Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.