Active NPI
Adonica Hennessy
- Counselor
- Marengo, IA
National Provider Identifier
1699219857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 081352
- Practice address
- 1061 Court Ave
Marengo, IA 52301-1439 - Phone
- (319) 361-6529
- NPI assigned
- Dec 7, 2016
- Last updated
- Dec 7, 2016
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 081352 | IA | Primary |
Addresses
Primary practice location
1061 Court Ave
Marengo, IA 52301-1439
Mailing address
2501 S Center St
Marshalltown, IA 50158-4562
Phone (319) 361-6529
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1646 305TH St
Tama, IA 52339-9679
Phone (641) 484-4094
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081352 | IA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sac & Fox of the Miss in Iowa | Current | Accepting new patients | |
| Grace C Mae Advocate Center | Past | Accepting new patients |
Locations
1646 305th St
Tama, IA 52339
Phone (641) 484-4094
1646 305th St
Ste A
Tama, IA 52339
Phone (641) 484-4094
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Tama, IA
- NPI 1962618355
-
- Mental Health Counselor
- Marshalltown, IA
- NPI 1568827954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481068800000",
"number": "1699219857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 S CENTER ST",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501584562",
"telephone_number": "319-361-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 COURT AVE",
"city": "MARENGO",
"state": "IA",
"postal_code": "523011439",
"telephone_number": "319-361-6529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNESSY",
"first_name": "ADONICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-07",
"last_updated": "2016-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IA",
"license": "081352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marengo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.