Active NPI
Lauren Mai
- Mental Health Counselor
- Waterloo, IA
National Provider Identifier
1679236111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 097268
- Practice address
- 304 South St
Waterloo, IA 50701-1514 - Phone
- (563) 419-4791
- NPI assigned
- Oct 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 097268 | IA | Primary |
Addresses
Primary practice location
304 South St
Waterloo, IA 50701-1514
Mailing address
7 W Cleveland St
New Hampton, IA 50659-2117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097268 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Family Solutions, LLC | Current | Accepting new patients | |
| Horizons, a Family Service Alliance | Past | Accepting new patients |
Locations
3812 Cedar Heights Dr
Cedar Falls, IA 50613
Phone (319) 260-2149
2720 1st Ave NE
Ste 300
Cedar Rapids, IA 52402
Phone (319) 200-5104
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Cedar Rapids, IA
- NPI 1407295280
-
- Community/Behavioral Health Agency
- Cedar Rapids, IA
- NPI 1033291265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1679236111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 W CLEVELAND ST",
"city": "NEW HAMPTON",
"state": "IA",
"postal_code": "506592117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 SOUTH ST",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507011514",
"telephone_number": "563-419-4791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAI",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-21",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "097268",
"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 Oct 21, 2021; 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.