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Edanne Lynn Murphy

Individual provider Active NPI Mental Health Counselor · Shenandoah, IA

NPI 1699286971 · NPPES record last updated Oct 13, 2017

Key facts

NPI
1699286971
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
11307 (NE)
Practice address
509 W Sheridan Ave
Shenandoah, IA 51601-1705
Phone
(712) 520-0237
Fax
(866) 675-5954
NPI assigned
Oct 13, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11307NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Authentic Journey Counseling Services, P.C. Mental Health Current Accepting new patients

Locations

818 Davis Ave
Corning, IA 50841
Phone (515) 468-9021

1101 E Summit St
Red Oak, IA 51566

509 W Sheridan Ave
Shenandoah, IA 51601
Phone (712) 520-0237

11330 Q St
Omaha, NE 68137
Phone (402) 597-2292

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11307 NE Yes

Addresses

Primary practice location

509 W Sheridan Ave
Shenandoah, IA 51601-1705

Mailing address

12954 Margo St
Omaha, NE 68138-6024
Phone (402) 810-2642

Other names

  • Edanne Lynn Qualseth Former name

Other providers in Shenandoah, IA

All providers in Shenandoah, IA · Mental Health Counselor in Iowa

Sources for this page

Verify at the official NPI Registry.