Katherine Marvick
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Huxley, IA
NPI 1790835882 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1790835882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 06166 (IA)
- Practice address
- 509 N Main Ave
Huxley, IA 50124-9416 - Phone
- (515) 597-2977
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06166 | 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/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 06166 | IA | Yes |
Addresses
Primary practice location
509 N Main Ave
Huxley, IA 50124-9416
Mailing address
420 Kellogg Ave
Ames, IA 50010-6226
Other providers in Huxley, IA
- Mary Suzanne Huff
- Huxley Physical Therapy Inc
- Hy-Vee Inc
- Steven Grant Kruse
- Madrid Home for the Aging
- Chelsea P Nobiling
- Whitney Peters
- Kirk Kevin Peterson
- Jonathan K Remsburg
- Sara Khan OD PC
All providers in Huxley, IA · Addiction (Substance Use Disorder) Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.