Laurine Lynn Price

Individual provider Active NPI Mental Health Counselor · Avoca, IA

NPI 1720577869 · NPPES record last updated May 3, 2018

Key facts

NPI
1720577869
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
091067 (IA)
Practice address
118 N Elm St
Avoca, IA 51521-3510
Phone
(712) 307-6014
NPI assigned
May 3, 2018
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Haus Therapy Services (4 clinicians)
Zion Integrated Behavioral Health Services Inc (7 clinicians)

Practice addresses (Care Compare)

1370 NW 18TH St
Suite 104
Ankeny, IA 50023-9243
Phone (515) 316-5549

2307 Olive St
Atlantic, IA 50022-9768
Phone (712) 243-2606

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20231228002399 IA Practitioner - Mental Health Counselor 6709236078 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Zion Integrated Behavioral Health Services Inc. Current
since Jan 1, 2024
Accepting new patients
Haus Therapy Services Mental Health Current
since Feb 1, 2026
Accepting new patients
Therapy Place, Inc. Past Accepting new patients
Healthy Homes Family Services, Inc Mental Health Past Accepting new patients

Locations

2307 Olive St
Atlantic, IA 50022
Phone (712) 243-2606

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 091067 IA Yes

Addresses

Primary practice location

118 N Elm St
Avoca, IA 51521-3510

Mailing address

1905 Hillcrest Dr
Atlantic, IA 50022-2852
Phone (712) 249-6688

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 3, 2018.

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1720577869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 HILLCREST DR",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500222852",
            "telephone_number": "712-249-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N ELM ST",
            "city": "AVOCA",
            "state": "IA",
            "postal_code": "515213510",
            "telephone_number": "712-307-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "LAURINE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "091067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avoca, IA

All providers in Avoca, IA · Mental Health Counselor in Iowa

Sources for this page

Verify at the official NPI Registry.