Individual provider Active NPI

Mary Elizabeth Schiotis, TLMHC, CADC

  • Mental Health Counselor
  • North Liberty, IA
National Provider Identifier
1760048060
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
113936 Issued in IA
Practice address
1290 Jordan St
North Liberty, IA 52317-8020
Phone
(319) 356-6352
NPI assigned
May 13, 2019
Last updated
Jun 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 113936 IA Primary

Addresses

Primary practice location

1290 Jordan St
North Liberty, IA 52317-8020

Mailing address

1290 Jordan St
North Liberty, IA 52317-8020
Phone (319) 356-6352

Other names 1

  • Mary Elisabeth Schiotis Other name

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

LicenseStateTypeSpecialty
113936IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Associates of Iowa, PC Addiction (Substance Use Disorder) CurrentSince Mar 26, 2023 Accepting new patients
Psychiatric Associates of Iowa, PC Addiction (Substance Use Disorder) CurrentSince Mar 26, 2023 Accepting new patients
Awakening Substance Abuse & Behavioral Health PastSince Aug 9, 2020 Accepting new patients
Covenant Family Solutions, LLC PastSince May 12, 2024 Accepting new patients

Locations

1290 Jordan St
North Liberty, IA 52317
Phone (319) 356-6352

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, 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": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1760048060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 JORDAN ST",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178020",
            "telephone_number": "319-356-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 JORDAN ST",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178020",
            "telephone_number": "319-356-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIOTIS",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "TLMHC, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "113936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "SCHIOTIS",
            "middle_name": "ELISABETH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.