Individual provider Active NPI

Kimberly Ann Neuharth, MA, MHC

  • Mental Health Counselor
  • Atlantic, IA
National Provider Identifier
1740265222
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
077931 Issued in IA
Practice address
2307 Olive St
Atlantic, IA 50022-9768
Phone
(712) 243-2606
NPI assigned
Dec 7, 2005
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 077931 IA Primary
Family Medicine Physician 207Q00000X 28764 IA

Addresses

Primary practice location

2307 Olive St
Atlantic, IA 50022-9768

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
04875OtherIAWELLMARK BCBS
1073403MedicaidIA

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
I20231223000120 IA Practitioner - Mental Health Counselor 4789678319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Liberty Univ College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zion Integrated Behavioral Health Services IncGroup PAC ID 9931573748, 7 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Zion Integrated Behavioral Health Services Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

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

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1740265222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 OLIVE ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500229768",
            "telephone_number": "712-243-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 OLIVE ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500229768",
            "telephone_number": "712-243-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUHARTH",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "MA, MHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "077931",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "28764",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "04875",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073403",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic, IA

Sources for this page

Verify at the official NPI Registry.