Active NPI
Debra T Georgia, LMFT
- Marriage & Family Therapist
- Mason City, IA
National Provider Identifier
1801938261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 00132
- Practice address
- 1000 4TH St SW
Suite BS
Mason City, IA 50401-2800 - Phone
- (641) 422-7797
- NPI assigned
- Feb 13, 2007
- Last updated
- Apr 20, 2021
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 00132 | IA | Primary |
Addresses
Primary practice location
1000 4TH St SW
Suite BS
Mason City, IA 50401-2800
Mailing address
621 S Illinois Ave
Suite 103
Mason City, IA 50401-5489
Phone (641) 494-3041
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Debra.Georgia@direct.2.mycarefile.org | Direct | MercyOne North Iowa |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Services-Iowa Corp | Past | Accepting new patients | |
| North Iowa Mercy Clinics | Past | Accepting new patients |
Interoperability endpoints
- debra.georgia@direct.2.mycarefile.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MercyOne Northwood Pharmacy
- Community/Retail Pharmacy
- Northwood, IA
- NPI 1316909484
-
dba MercyOne North Iowa Behavioral Services Center
- Cognitive & Behavioral Psychologist
- Mason City, IA
- NPI 1730197492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1801938261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 S ILLINOIS AVE",
"address_2": "SUITE 103",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504015489",
"telephone_number": "641-494-3041",
"fax_number": "641-494-3059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 4TH ST SW",
"address_2": "SUITE BS",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504012800",
"telephone_number": "641-422-7797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGIA",
"first_name": "DEBRA",
"middle_name": "T",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IA",
"license": "00132",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Debra.Georgia@direct.2.mycarefile.org",
"affiliation": "Y",
"endpointDescription": "Direct Email Address",
"affiliationName": "MercyOne North Iowa",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1000 4th St SW",
"address_2": "SUITE BS",
"city": "Mason City",
"state": "IA",
"country_code": "US",
"postal_code": "504012800",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.