Organization Active NPI

Olive Branch Counseling Services PLLC

  • Clinical Social Worker
  • Cedar Falls, IA
National Provider Identifier
1801512116
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
OLIVE BRANCH COUNSELING SERVICES PLLC
Practice address
215 Franklin St
Cedar Falls, IA 50613-2746
Phone
(319) 804-8584
NPI assigned
Oct 18, 2022
Last updated
Oct 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Authorized official

Name
Emily Steffen, LISWNPI 1699175604
Title
Partner
Phone
(563) 422-7773

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

215 Franklin St
Cedar Falls, IA 50613-2746

Mailing address

2418 Willow LN
Cedar Falls, IA 50613-5908
Phone (563) 422-7773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240520003000 IA Part B Supplier - Clinic/Group Practice 7719329945 Receives reassigned benefits from 5 practitioners
Practice locations: Cedar Falls, IA; Decorah, IA

National Provider Directory

National Provider Directory

Locations

215 Franklin St
Cedar Falls, IA 50613
Phone (319) 214-5626

604 Clay St
Cedar Falls, IA 50613
Phone (563) 340-6545

304 W Main St
Decorah, IA 52101

Practitioners & affiliated clinicians

Practitioners 8

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": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1801512116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 WILLOW LN",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506135908",
            "telephone_number": "563-422-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 FRANKLIN ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132746",
            "telephone_number": "319-804-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "STEFFEN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "563-422-7773",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.