Active NPI
Kari Stearns-Lamb
- Mental Health Counselor
- Davenport, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 078821
- Practice address
- 1441 W Central Park Ave
Davenport, IA 52804-1707 - Phone
- (563) 383-1900
- Fax
- (563) 884-4638
- NPI assigned
- Aug 19, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 149019131 | IL | |
| Mental Health Counselor | 101YM0800X | 078821 | IA | Primary |
Addresses
Primary practice location
1441 W Central Park Ave
Davenport, IA 52804-1707
Mailing address
1225 E River Dr Ste 205
Davenport, IA 52803-5752
Phone (309) 781-4053
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149019131 | Other | IL | ILLINOIS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170426000860 | IA | Practitioner - Clinical Social Worker | 4587941737 | Reassigns benefits to 1 organization |
| I20170426002884 | IL | Practitioner - Clinical Social Worker | 4587941737 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1225 E River Dr
Suite 205
Davenport, IA 52803-5752
Phone (309) 781-4053
1718 8TH Ave
Unit 6
Moline, IL 61265-2118
Phone (309) 781-4053
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 078821 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revolution Counseling Services LLC | Current | Accepting new patients |
Locations
601 Brady St
Ste 204
Davenport, IA 52803
Phone (309) 781-4053
1225 E River Dr
Ste 205
Davenport, IA 52803
Phone (309) 781-4053
1718 8th Ave
Unit 6
Moline, IL 61265
Phone (309) 781-4053
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1831565290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 E RIVER DR STE 205",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528035752",
"telephone_number": "309-781-4053",
"fax_number": "309-792-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 W CENTRAL PARK AVE",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528041707",
"telephone_number": "563-383-1900",
"fax_number": "563-884-4638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEARNS-LAMB",
"first_name": "KARI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-19",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "149019131",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "078821",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS LICENSE",
"identifier": "149019131",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.