Individual provider Active NPI

Vanessa L Chase, LMHC

  • Mental Health Counselor
  • Fredericksburg, IA
National Provider Identifier
1760190128
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
099562 Issued in IA
Practice address
602 S Washington Ave
Fredericksburg, IA 50630-1003
Phone
(563) 237-5300
Fax
(563) 237-5304
NPI assigned
Nov 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 099562 IA Primary

Addresses

Primary practice location

602 S Washington Ave
Fredericksburg, IA 50630-1003

Mailing address

PO Box 206
Fredericksburg, IA 50630-0206
Phone (563) 237-5300

Other practice location 1

111 10th St SW
Waverly, IA 50677-2925
Phone (319) 352-2064

Other names 1

  • Vabessa L Cauntay Former name

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
I20240109003489 IA Practitioner - Mental Health Counselor 7911358411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathways Behavioral Services IncGroup PAC ID 3779582796, 16 clinicians

Practice addresses (Care Compare)

111 10TH St SW
Pathways Behavioral Services
Waverly, IA 50677-2925
Phone (319) 235-6571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
099562IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Behavioral Services Inc CurrentSince Jan 1, 2024 Accepting new patients
Pathways Behavioral Services Inc CurrentSince Jan 1, 2024 Accepting new patients
Pathways Behavioral Services, Inc. Past Accepting new patients

Locations

602 S Washington Ave
Fredericksburg, IA 50630
Phone (319) 235-6571

1827 1st St W
Ste C
Independence, IA 50644

2275 S Linn Ave
New Hampton, IA 50659
Phone (641) 394-2391

3362 University Ave
Waterloo, IA 50701
Phone (319) 235-6571

607 Sycamore St
Ste 300
Waterloo, IA 50703
Phone (319) 232-5363

111 10th St SW
Waverly, IA 50677
Phone (319) 235-6571

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1760190128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "city": "FREDERICKSBURG",
            "state": "IA",
            "postal_code": "506300206",
            "telephone_number": "563-237-5300",
            "fax_number": "563-237-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S WASHINGTON AVE",
            "city": "FREDERICKSBURG",
            "state": "IA",
            "postal_code": "506301003",
            "telephone_number": "563-237-5300",
            "fax_number": "563-237-5304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 10th St SW",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "IA",
            "postal_code": "506772925",
            "country_code": "US",
            "telephone_number": "319-352-2064",
            "fax_number": "319-352-2329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHASE",
        "first_name": "VANESSA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "099562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VABESSA",
            "last_name": "CAUNTAY",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fredericksburg, IA

Sources for this page

Verify at the official NPI Registry.