Organization Active NPI

True Wellness Counseling P.L.C.

  • Community/Behavioral Health Agency
  • Carroll, IA
National Provider Identifier
1679986210
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
06730 Issued in IA
Legal business name
TRUE WELLNESS COUNSELING P.L.C.
Practice address
207 W 4TH St
Carroll, IA 51401-2761
Phone
(712) 792-4207
Fax
(712) 792-4207
NPI assigned
Jun 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Kay Lynn Haubrich, L.I.S.W.
Title
Owner/Mental Health Therapist
Phone
(712) 830-9238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 06730 IA Primary

Addresses

Primary practice location

207 W 4TH St
Carroll, IA 51401-2761

Mailing address

PO Box 1104
Carroll, IA 51401-1104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140801001936 IA Part B Supplier - Clinic/Group Practice 1759507437 Receives reassigned benefits from 1 practitioner
Practice locations: West Des Moines, IA

National Provider Directory

National Provider Directory

Locations

207 W 4th St
Carroll, IA 51401
Phone (712) 792-4207

510 N Carroll St
Ste 1
Carroll, IA 51401
Phone (712) 790-1842

2171 Grand Ave
West Des Moines, IA 50265
Phone (712) 790-1842

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1679986210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1104",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514011104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W 4TH ST",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514012761",
            "telephone_number": "712-792-4207",
            "fax_number": "712-792-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE WELLNESS COUNSELING P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "HAUBRICH",
        "authorized_official_first_name": "KAY LYNN",
        "authorized_official_title_or_position": "OWNER/MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "712-830-9238",
        "authorized_official_credential": "L.I.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": "06730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carroll, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.