Individual provider Active NPI

Sean Michael Ostendorf

  • Mental Health Counselor
  • Waterloo, IA
National Provider Identifier
1861072845
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3261 University Ave
Waterloo, IA 50701-2051
Phone
(800) 531-4236
Fax
(319) 483-6661
NPI assigned
Apr 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3261 University Ave
Waterloo, IA 50701-2051

Mailing address

3261 University Ave
Waterloo, IA 50701-2051
Phone (800) 531-4236

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
I20240610000842 IA Practitioner - Mental Health Counselor 9234671983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart and SolutionsGroup PAC ID 1456610419, 6 clinicians

Practice addresses (Care Compare)

227 E San Marnan Dr
Waterloo, IA 50702-5829
Phone (800) 531-4236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Solutions Mental Health CurrentSince May 14, 2024 Accepting new patients

Locations

4923 Lincoln Way
Ames, IA 50014
Phone (515) 418-6449

1630 42nd St NE
Ste F
Cedar Rapids, IA 52402
Phone (319) 261-1379

2208 E 52nd St
Davenport, IA 52807
Phone (515) 975-8636

626 G Ave
Grundy Center, IA 50638
Phone (319) 239-8522

100 1st St NE
Mason City, IA 50401
Phone (515) 421-9969

227 E San Marnan Dr
Waterloo, IA 50702
Phone (563) 500-9993

3261 University Ave
Waterloo, IA 50701
Phone (319) 239-8522

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": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1861072845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3261 UNIVERSITY AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507012051",
            "telephone_number": "800-531-4236",
            "fax_number": "319-483-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3261 UNIVERSITY AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507012051",
            "telephone_number": "800-531-4236",
            "fax_number": "319-483-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTENDORF",
        "first_name": "SEAN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-13",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.