Active NPI
Kelly Cronin, CADC
- Addiction (Substance Use Disorder) Counselor
- Mason City, IA
National Provider Identifier
1760933667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 15046
- Practice address
- 50 N Eisenhower Ave
Mason City, IA 50401-7340 - Phone
- (641) 423-7362
- NPI assigned
- Oct 17, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15046 | IA | Primary |
Addresses
Primary practice location
50 N Eisenhower Ave
Mason City, IA 50401-7340
Mailing address
420 Kellogg Ave
Ames, IA 50010-6226
Phone (515) 233-3141
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 |
|---|---|---|---|
| 15046 | IA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth and Shelter Services, Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/yss/r4/
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 and National Provider Directory roles.
-
- Counselor
- Ames, IA
- NPI 1841357894
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1760933667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 KELLOGG AVE",
"city": "AMES",
"state": "IA",
"postal_code": "500106226",
"telephone_number": "515-233-3141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N EISENHOWER AVE",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504017340",
"telephone_number": "641-423-7362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRONIN",
"first_name": "KELLY",
"credential": "CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-17",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IA",
"license": "15046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mason City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.