Individual provider Active NPI

Stephanie Marie Fiser, MA, NCC

  • Mental Health Counselor
  • Muscatine, IA
National Provider Identifier
1871063446
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
092718 Issued in IA
Practice address
503 Iowa Ave
Muscatine, IA 52761
Phone
(319) 430-0921
NPI assigned
Nov 27, 2018
Last updated
Nov 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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 092718 IA Primary

Addresses

Primary practice location

503 Iowa Ave
Muscatine, IA 52761

Mailing address

1109 Deforest Ave
Iowa City, IA 52240
Phone (319) 430-0921

Other names 1

  • Stephanie Lantz Former name

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
I20240513003102 IA Practitioner - Mental Health Counselor 4688015316 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
092718IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeview Community Mental Health Center Mental Health CurrentSince Mar 30, 2024 Accepting new patients

Locations

1320 19th Ave NW
Clinton, IA 52732
Phone (563) 243-5633

849 13th Ave N
Clinton, IA 52732
Phone (563) 242-1521

2195 E 53rd St
Davenport, IA 52807
Phone (309) 797-7700

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.

NPI Registry JSON

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1871063446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 DEFOREST AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52240",
            "telephone_number": "319-430-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 IOWA AVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "52761",
            "telephone_number": "319-430-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISER",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "MA, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "092718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "LANTZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Muscatine, IA

Sources for this page

Verify at the official NPI Registry.