Prism Therapy Group LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

PRISM THERAPY GROUP LLC

Practice address

1089 Longfellow Dr Ste C
Hiawatha, IA 52233-2032

Phone

(319) 361-9381

NPI assigned

Jun 13, 2021

Last updated

Jul 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica M Pladsen, LMFTNPI 1518229483

Title

Owner

Phone

(319) 361-9381

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica M Pladsen, LMFT

  • Marriage & Family Therapist
  • Hiawatha, IA
  • NPI 1518229483
  Medicare reassignment NPD Authorized official
• Sarah Bell, MFT

  • Marriage & Family Therapist
  • Cedar Rapids, IA
  • NPI 1669108122

  Mental Health

  NPD
• Jessica Rae Harder, T-LMHC

  • Mental Health Counselor
  • Hiawatha, IA
  • NPI 1134937121
  NPD
• Michael Angelo Mendoza, LMFT

  • Marriage & Family Therapist
  • Hiawatha, IA
  • NPI 1447128756
  NPD
• Amy Reihman, M.S., TLMHC

  • Mental Health Counselor
  • Cedar Rapids, IA
  • NPI 1235537838
  NPD
• Monica Siegel

  • Marriage & Family Therapist
  • Hiawatha, IA
  • NPI 1326767864
  NPD
• Nico Mackenzee Zvacek, T-LMFT

  • Marriage & Family Therapist
  • Hiawatha, IA
  • NPI 1992574107
  NPD

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

{
    "created_epoch": "1623542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1700454121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2886 61ST STREET LN LOT 4",
            "city": "VINTON",
            "state": "IA",
            "postal_code": "523499265",
            "telephone_number": "319-361-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 LONGFELLOW DR STE C",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332032",
            "telephone_number": "319-361-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-13",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "PLADSEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-361-9381",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609919358",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.simplepractice.com/",
            "affiliation": "N",
            "endpointDescription": "Telehealth platform; EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Simple Practice Telehealth platform; EHR",
            "address_1": "1089 Longfellow Dr Ste C",
            "city": "Hiawatha",
            "state": "IA",
            "country_code": "US",
            "postal_code": "522332032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Marriage & Family Therapist in Hiawatha, IA
• Providers in Hiawatha, IA by specialty
• Marriage & Family Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.