Active NPI
Marne Hyde
- Counselor
- Council Bluffs, IA
National Provider Identifier
1851762470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 079937
- Practice address
- 500 Willow Ave
Suite 305
Council Bluffs, IA 51503-0827 - Phone
- (712) 256-4420
- NPI assigned
- Oct 8, 2015
- Last updated
- Oct 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 079937 | IA | Primary |
Addresses
Primary practice location
500 Willow Ave
Suite 305
Council Bluffs, IA 51503-0827
Mailing address
500 Willow Ave
Suite 305
Council Bluffs, IA 51503-0827
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079937 | Medicaid | IA |
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 |
|---|---|---|---|
| 079937 | IA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MMH Counseling | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444262400000",
"number": "1851762470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 WILLOW AVE",
"address_2": "SUITE 305",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515030827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WILLOW AVE",
"address_2": "SUITE 305",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515030827",
"telephone_number": "712-256-4420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYDE",
"first_name": "MARNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-08",
"last_updated": "2015-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IA",
"license": "079937",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "079937",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Council Bluffs, IA
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- Sakeer Hussain, M.D.
- Nicole Huynh
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- Hy-Vee Inc (Hy-Vee Pharmacy #1 (1092))
- Melissa Ruth Hynek, APRN
- Terry M Ideker, APRN
- Indian Hills Healthcare, Inc. (Regency Rehabilitation and Healthcare Center)
- Umajyothi Indukuri, MD
- Infectious Disease Associates PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.