Organization Active NPI

Prevail Counseling for Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Liberty, IA
National Provider Identifier
1790560696
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PREVAIL COUNSELING FOR WELLNESS, LLC
Practice address
580 N Madison Ave Unit 3
North Liberty, IA 52317-8402
Phone
(319) 343-7727
NPI assigned
Aug 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Authorized official

Name
Dawn RechkemmerNPI 1033722277
Title
Owner, Mental Health Counselor
Phone
(319) 343-7727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

580 N Madison Ave Unit 3
North Liberty, IA 52317-8402

Mailing address

1500 Fawn Dr
North Liberty, IA 52317-2303
Phone (319) 343-7727

National Provider Directory

National Provider Directory

Locations

580 N Madison Ave
Unit 3
North Liberty, IA 52317
Phone (319) 343-7727

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1790560696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 FAWN DR",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523172303",
            "telephone_number": "319-343-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 N MADISON AVE UNIT 3",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178402",
            "telephone_number": "319-343-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVAIL COUNSELING FOR WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "RECHKEMMER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER, MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "319-343-7727"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 29, 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.