Theresa Graham-Mineart

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001725 Issued in IA

Practice address

740 N 15TH Ave
Ste a
Hiawatha, IA 52233-2384

Phone

(319) 398-3562

Fax

(319) 398-3501

NPI assigned

Feb 26, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Theresa Graham-Mineart Professional name

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Undefined Non-Physician Type (Specify)

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Abbe Center for Community Mental Health IncGroup PAC ID 5890684336, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tgrahammineart602200@direct.unitypoint.org

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.

• Abbe Center for Community Mental Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cedar Rapids, IA
  • NPI 1063586071
  Medicare reassignment Care Compare group NPD
• Abbe Center for Community Mental Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cedar Rapids, IA
  • NPI 1366299018
  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1689066771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 11TH ST NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524053811",
            "telephone_number": "319-398-3562",
            "fax_number": "319-398-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 N 15TH AVE",
            "address_2": "STE A",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332384",
            "telephone_number": "319-398-3562",
            "fax_number": "319-398-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM-MINEART",
        "first_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074575",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "GRAHAM-MINEART",
            "credential": "LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mitchell William Frerichs, DDS
• Elizabeth Maree Gearhart
• Kara Charlotte Gillund, P.T.
• Lance Allen Goodall, MD
• Monica Goodvin
• Derrick Graulein
• Stephanie B Gray, DNP, ARNP
• Conor Greear
• Brigit Renae Greiner
• Tyler Greiner, DO

• Mental Health Counselor in Hiawatha, IA
• Providers in Hiawatha, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.