Individual provider Active NPI

Mary Elizabeth Lee, LISW

  • Professional Counselor
  • Ames, IA
National Provider Identifier
1710123674
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
00203 Issued in IA
Practice address
600 5TH St
Suite 200
Ames, IA 50010-6085
Phone
(515) 232-2051
Fax
(515) 232-2775
NPI assigned
Dec 24, 2008
Last updated
Oct 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 00203 IA Primary

Addresses

Primary practice location

600 5TH St
Suite 200
Ames, IA 50010-6085

Mailing address

600 5TH St
Suite 200
Ames, IA 50010-6085
Phone (515) 232-2051

Other names 1

  • Kehoe Mary Elizabeth Former name

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
I20090224000745 IA Practitioner - Clinical Social Worker 2466517537 Practice locations: Des Moines, IA; Johnston, IA; Marshalltown, IA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Kalisa Way
Suite 101
Paramus, NJ 07652-3508

1619 S High Ave
Ames, IA 50010-8055

2401 E 8TH St
Azria Health Park Place
Des Moines, IA 50316-1717
Phone (888) 948-6789

5837 Winwood Dr
Johnston, IA 50131-1651
Phone (888) 948-6789

701 Riverview St
Des Moines, IA 50316-2343
Phone (888) 948-6789

910 E Olive St
Grandview Heights Rehab and Healthcare
Marshalltown, IA 50158-4175
Phone (888) 948-6789

PO Box
Suite 27677
Salt Lake City, UT 84127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00203IAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community and Family Resources Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1230076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1710123674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 5TH ST",
            "address_2": "SUITE 200",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106085",
            "telephone_number": "515-232-2051",
            "fax_number": "515-232-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 5TH ST",
            "address_2": "SUITE 200",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106085",
            "telephone_number": "515-232-2051",
            "fax_number": "515-232-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-24",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IA",
            "license": "00203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEHOE",
            "last_name": "ELIZABETH",
            "middle_name": "MARY",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.