Active NPI
Randall Leo Kiel, L.M.H.C.
- Mental Health Counselor
- Clive, IA
National Provider Identifier
1750518700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 00754
- Practice address
- 10061 Clark St
Clive, IA 50325-6751 - Phone
- (515) 267-0030
- NPI assigned
- Jun 17, 2009
- Last updated
- Jun 19, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 00754 | IA | Primary |
Addresses
Primary practice location
10061 Clark St
Clive, IA 50325-6751
Mailing address
10061 Clark St
Clive, IA 50325-6751
Phone (515) 267-0030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00754 | IA | MD | Occupational Therapy Assistant |
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": "1245196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245369600000",
"number": "1750518700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10061 CLARK ST",
"city": "CLIVE",
"state": "IA",
"postal_code": "503256751",
"telephone_number": "515-267-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10061 CLARK ST",
"city": "CLIVE",
"state": "IA",
"postal_code": "503256751",
"telephone_number": "515-267-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIEL",
"first_name": "RANDALL",
"middle_name": "LEO",
"credential": "L.M.H.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-17",
"last_updated": "2009-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "00754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.