Lakes Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LAKES COUNSELING PLLC

Practice address

507 18TH Street Suite a
Spirit Lake, IA 51360

Phone

(512) 230-3919

NPI assigned

Jun 11, 2019

Organization subpart

No

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

Authorized official

Name

Rachel Wassenaar, LISWNPI 1427280775

Title

Owner/Outpt Therapist

Phone

(512) 230-3919

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Lynn Wassenaar, LMSW

  • Clinical Social Worker
  • Des Moines, IA
  • NPI 1427280775
  Medicare reassignment NPD Authorized official
• Alysa Murphy, LMHC

  • Mental Health Counselor
  • Spirit Lake, IA
  • NPI 1982001046
  Medicare reassignment NPD

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1831758002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 18TH STREET SUITE A",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "51360",
            "telephone_number": "512-230-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 18TH STREET SUITE A",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "51360",
            "telephone_number": "512-230-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "WASSENAAR",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER/OUTPT THERAPIST",
        "authorized_official_telephone_number": "512-230-3919",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427280775",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Jackson Knoer, ARNP
• Chandler Koehler
• Brenda Kraft, CRNA
• Lisa C Kreiter, CRNA
• Leann Elizabeth Krumwiede, PTA
• Lakes Dermatology, PLLC
• Lakes Family Chiropractic
• Lakes Hospice LLC
• Lakes Lifeskills LLC
• Lakes Regional Healthcare

• Clinical Social Worker in Spirit Lake, IA
• Providers in Spirit Lake, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.