Individual provider Active NPI

Lisa Crouse, LMHC, CADC, PLMHP

  • Mental Health Counselor
  • Council Bluffs, IA
National Provider Identifier
1841657442
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10728 Issued in NE
Practice address
427 E Kanesville Blvd Ste 102
Council Bluffs, IA 51503-4403
Phone
(712) 256-9660
NPI assigned
Jan 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10728 NE Primary

Addresses

Primary practice location

427 E Kanesville Blvd Ste 102
Council Bluffs, IA 51503-4403

Mailing address

170 W Graham Ave
Council Bluffs, IA 51503-6832
Phone (712) 256-3131

Other practice location 1

3300 N 60th St
Omaha, NE 68104-3402
Phone (402) 554-0520

Other identifiers 4

IdentifierTypeStateIssuer
47037661200MedicaidNE
10025225100MedicaidNE
470390618MedicaidIA
10025315800MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241025000513 IA Practitioner - Mental Health Counselor 4587195706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Healing and Hope, LLCGroup PAC ID 6800912031, 4 clinicians

Practice addresses (Care Compare)

427 E Kanesville Blvd
Suite 210
Council Bluffs, IA 51503-4403
Phone 7122569660104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10728NEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Crouse LLC Mental Health CurrentSince Nov 26, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1841657442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 W GRAHAM AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515036832",
            "telephone_number": "712-256-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 E KANESVILLE BLVD STE 102",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034403",
            "telephone_number": "712-256-9660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 N 60th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681043402",
            "country_code": "US",
            "telephone_number": "402-554-0520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROUSE",
        "first_name": "LISA",
        "credential": "LMHC, CADC, PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "10728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47037661200",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025225100",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470390618",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025315800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.