Individual provider Active NPI

Ben Mineck

  • Mental Health Counselor
  • Mount Vernon, IA
National Provider Identifier
1710530175
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
096400 Issued in IA
Practice address
204 Glenn St SE Ste 2
Mount Vernon, IA 52314-1501
Phone
(319) 423-2244
NPI assigned
Jul 24, 2019
Last updated
Jul 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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 096400 IA Primary

Addresses

Primary practice location

204 Glenn St SE Ste 2
Mount Vernon, IA 52314-1501

Mailing address

1530 Ranmar CT
Ely, IA 52227-9592
Phone (319) 423-2244

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
I20231121001668 IA Practitioner - Mental Health Counselor 2264880814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

615 5TH St SE
Cedar Rapids, IA 52401-2158
Phone (319) 398-3562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
096400IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Abbe Center for Community Mental Health, Inc CurrentSince Jan 1, 2024 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Abbe Center for Community Mental Health, Inc CurrentSince Jan 1, 2024 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Jan 1, 2024 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4325 Williams Blvd SW
Cedar Rapids, IA 52404
Phone (319) 368-8400

520 11th St NW
Cedar Rapids, IA 52405
Phone (319) 297-3228

615 5th St SE
Cedar Rapids, IA 52401

740 N 15th Ave
Ste A
Hiawatha, IA 52233

Interoperability endpoints

  • Direct secure messaging: bmineck926076@direct.unitypoint.org

Organizations & group practices 4

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": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1710530175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 RANMAR CT",
            "city": "ELY",
            "state": "IA",
            "postal_code": "522279592",
            "telephone_number": "319-423-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 GLENN ST SE STE 2",
            "city": "MOUNT VERNON",
            "state": "IA",
            "postal_code": "523141501",
            "telephone_number": "319-423-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINECK",
        "first_name": "BEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "096400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IA

Sources for this page

Verify at the official NPI Registry.