Active NPI
Amy J. Gerveler, CADC
- Addiction (Substance Use Disorder) Counselor
- Burlington, IA
National Provider Identifier
1861929192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1340 Mount Pleasant St
Burlington, IA 52601-2623 - Phone
- (319) 753-6567
- Fax
- (319) 753-0703
- NPI assigned
- May 17, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
1340 Mount Pleasant St
Burlington, IA 52601-2623
Mailing address
1340 Mount Pleasant St
Burlington, IA 52601-2623
Phone (319) 753-6567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10681 | Other | IA | CERTIFIED ALCOHOL AND DRUG DEPENDENCY COUNSELOR |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1861929192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 MOUNT PLEASANT ST",
"city": "BURLINGTON",
"state": "IA",
"postal_code": "526012623",
"telephone_number": "319-753-6567",
"fax_number": "319-753-0703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 MOUNT PLEASANT ST",
"city": "BURLINGTON",
"state": "IA",
"postal_code": "526012623",
"telephone_number": "319-753-6567",
"fax_number": "319-753-0703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERVELER",
"first_name": "AMY",
"middle_name": "J.",
"credential": "CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED ALCOHOL AND DRUG DEPENDENCY COUNSELOR",
"identifier": "10681",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.