Active NPI
Alicia Tannahill
- Mental Health Counselor
- Mason City, IA
National Provider Identifier
1821582164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 091979
- Practice address
- 50 N Eisenhower Ave
Mason City, IA 50401-7340 - Phone
- (641) 423-7362
- NPI assigned
- Jun 20, 2018
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 091979 | IA | Primary |
Addresses
Primary practice location
50 N Eisenhower Ave
Mason City, IA 50401-7340
Mailing address
50 N Eisenhower Ave
Mason City, IA 50401-7340
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 091979 | IA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604275200000",
"number": "1821582164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 N EISENHOWER AVE",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504017340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N EISENHOWER AVE",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504017340",
"telephone_number": "641-423-7362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNAHILL",
"first_name": "ALICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-20",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "091979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.