LC Jr., LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001626 Issued in IA

Legal business name

LC JR., LLC

Practice address

1912 Middle Rd
300 B
Bettendorf, IA 52722-7600

Phone

(563) 275-6728

Fax

(563) 265-8088

NPI assigned

Feb 18, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Jamie R McWade, LMHC, IADC, DCCNPI 1679958334

Title

Owner

Phone

(563) 275-6728

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie Renee McWade, LMHC, IADC

  • Mental Health Counselor
  • Bettendorf, IA
  • NPI 1679958334

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1720470362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 MIDDLE RD",
            "address_2": "300 B",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527227600",
            "telephone_number": "563-275-6728",
            "fax_number": "563-265-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 MIDDLE RD",
            "address_2": "300 B",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527227600",
            "telephone_number": "563-275-6728",
            "fax_number": "563-265-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LC JR., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "MCWADE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-275-6728",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC, IADC, DCC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "13040",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey J Lange, ARNP, DNP
• William M Langley, MD
• April Raine Lanning, DO
• Susan M. Larkin Thier, D.C.
• Erling Larson III, MD
• Matthew S Leal, DPT
• Brooke Alyssa Eckhardt Lee, LMT DC
• Blake Leroy Letney, DO
• Todd Leroy Letney, MD
• Matthew Wesley Lettington, M.A., MFT

• Mental Health Counselor in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.