Individual provider Active NPI

Kay Lynn Haubrich, LMSW

  • Mental Health Counselor
  • Ames, IA
National Provider Identifier
1700997228
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
06730 Issued in IA
Practice address
125 S 3Rd St
Ames, IA 50010-7042
Phone
(515) 232-5811
Fax
(515) 232-7491
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 06730 IA Primary

Addresses

Primary practice location

125 S 3Rd St
Ames, IA 50010-7042

Mailing address

125 S 3Rd St
Ames, IA 50010-7042
Phone (515) 232-5811

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
I20061020000202 IA Practitioner - Clinical Social Worker 4183620859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2171 Grand Ave
West Des Moines, IA 50265-4289
Phone (712) 790-1842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06730IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
True Wellness Counseling P.L.C. CurrentSince Jul 14, 2014 Accepting new patients
The Richmond Center Mental Health PastSince Jun 26, 2008 Accepting new patients
Community and Family Resources Past Accepting new patients

Locations

2171 Grand Ave
West Des Moines, IA 50265
Phone (712) 790-1842

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700997228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S 3RD ST",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500107042",
            "telephone_number": "515-232-5811",
            "fax_number": "515-232-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S 3RD ST",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500107042",
            "telephone_number": "515-232-5811",
            "fax_number": "515-232-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUBRICH",
        "first_name": "KAY",
        "middle_name": "LYNN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "06730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.