Individual provider Active NPI

Kelli A Reuter, LMHC

  • Mental Health Counselor
  • Fort Dodge, IA
National Provider Identifier
1699392597
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
080239 Issued in IA
Practice address
720 Kenyon Rd
Fort Dodge, IA 50501-5759
Phone
(800) 482-8305
NPI assigned
Jun 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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 080239 IA Primary

Addresses

Primary practice location

720 Kenyon Rd
Fort Dodge, IA 50501-5759

Mailing address

720 Kenyon Rd
Fort Dodge, IA 50501-5759
Phone (800) 482-8305

Other identifiers 2

IdentifierTypeStateIssuer
07466OtherWELLMARK
0159608MedicaidIA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.unitypoint.org/fortdodge/contact-us.aspx Other

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231213000199 IA Practitioner - Mental Health Counselor 4385093517 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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.

NPI Registry JSON

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1699392597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 KENYON RD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015759",
            "telephone_number": "800-482-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 KENYON RD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015759",
            "telephone_number": "800-482-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REUTER",
        "first_name": "KELLI",
        "middle_name": "A",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "080239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "07466",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159608",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.unitypoint.org/fortdodge/contact-us.aspx",
            "affiliation": "N",
            "endpointDescription": "used for messaging re: appointments",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "general questions appointments",
            "address_1": "720 Kenyon Rd",
            "city": "Fort Dodge",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505015759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

Verify at the official NPI Registry.