Active NPI
Mary Elizabeth Lee, LISW
- Professional Counselor
- Ames, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 00203
- 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, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 00203 | IA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Behavioral Health Agency
- Ames, IA
- NPI 1447684436
-
- Substance Abuse Rehabilitation Facility
- Fort Dodge, IA
- NPI 1366507790
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.