Windy J Disalvo, LMSW, PLMHP (FOR NEB

Individual provider Active NPI Professional Counselor · Council Bluffs, IA

NPI 1730599341 · NPPES record last updated Dec 21, 2016

Key facts

NPI
1730599341
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
075547 (IA)
Practice address
719 Mill St.
Council Bluffs, IA 51502-3008
Phone
(712) 326-5906
Fax
(712) 323-6968
NPI assigned
May 5, 2014
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
10235NEMDMental Health Counselor
075547IAMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10235 NE
Professional Counselor 101YP2500X 075547 IA Yes

Addresses

Primary practice location

719 Mill St.
Council Bluffs, IA 51502-3008

Mailing address

PO Box 8-C
North 6TH and Ave E.
Council Bluffs, IA 51502-3008
Phone (712) 322-3700

Other names

  • Windy J Rottenbucher Former name

Other providers in Council Bluffs, IA

All providers in Council Bluffs, IA · Professional Counselor in Iowa

Sources for this page

Verify at the official NPI Registry.