Individual provider Active NPI

Lauren Mai

  • Mental Health Counselor
  • Waterloo, IA
National Provider Identifier
1679236111
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
097268 Issued in IA
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

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240711000243 IA Practitioner - Mental Health Counselor 9234674532 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097268IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Family Solutions, LLC CurrentSince May 3, 2024 Accepting new patients
Horizons, a Family Service Alliance PastSince Jul 1, 2005 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.

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

Verify at the official NPI Registry.