Individual provider Active NPI

Loa Vanhouten-Greedy, PLMHP/PLADC

  • Mental Health Counselor
  • Tabor, IA
National Provider Identifier
1710387303
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10311 Issued in NE
Practice address
608 West St
Tabor, IA 51653-4065
Phone
(712) 313-0067
Fax
(402) 697-3924
NPI assigned
Sep 2, 2014
Last updated
Sep 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X P-1154 NE
Mental Health Counselor 101YM0800X 10311 NE Primary
Mental Health Counselor 101YM0800X 8921

Addresses

Primary practice location

608 West St
Tabor, IA 51653-4065

Mailing address

608 West St
Tabor, IA 51653-4065
Phone (712) 313-0067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P-1154NEMDAddiction (Substance Use Disorder) Counselor
10311NEMDMental Health Counselor

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, 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": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1710387303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 WEST ST",
            "city": "TABOR",
            "state": "IA",
            "postal_code": "516534065",
            "telephone_number": "712-313-0067",
            "fax_number": "402-697-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 WEST ST",
            "city": "TABOR",
            "state": "IA",
            "postal_code": "516534065",
            "telephone_number": "712-313-0067",
            "fax_number": "402-697-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHOUTEN-GREEDY",
        "first_name": "LOA",
        "credential": "PLMHP/PLADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P-1154",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "10311",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "8921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tabor, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.