Timothy D Lantz, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

00246 Issued in IA

Practice address

204B W Burlington Ave
Fairfield, IA 52556-3239

Phone

(641) 472-7216

Fax

(641) 472-1786

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Chautauqua Clinic

  • Psychiatry Physician
  • Fairfield, IA
  • NPI 1841569936
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821101734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204B W BURLINGTON AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563239",
            "telephone_number": "641-472-7216",
            "fax_number": "641-472-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204B W BURLINGTON AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563239",
            "telephone_number": "641-472-7216",
            "fax_number": "641-472-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTZ",
        "first_name": "TIMOTHY",
        "middle_name": "D",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamryn Michelle Krueger, PTA
• Rachael Kunzler, LISW
• Gloria Renee Lafollette, RN, DNP, FNP-C
• Dustin C Lane, PHARMD
• Hiedi Christine Lane, ARNP
• David Kent Larson, M.D.
• Susana Haydee Liberona Ouellette, NURSE
• Randall Ardell Liebe, O.D.
• Lindberg Chiropractic Clinic PC
• Tracy Liptak, LISW

• Mental Health Counselor in Fairfield, IA
• Providers in Fairfield, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.