Individual provider Active NPI

Christine Ann Secrist, PHD, LMFT

  • Marriage & Family Therapist
  • Perry, IA
National Provider Identifier
1881667731
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
00066 Issued in IA
Practice address
600 1St Ave
Perry, IA 50220-1803
Phone
(515) 465-5739
Fax
(515) 465-5744
NPI assigned
Feb 10, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 00066 IA Primary

Addresses

Primary practice location

600 1St Ave
Perry, IA 50220-1803

Mailing address

4713 Panorama Dr
Panora, IA 50216-8632
Phone (515) 229-9587

Other identifiers 1

IdentifierTypeStateIssuer
18699OtherIAMIDLANDS CHOICE

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
I20260203003457 IA Practitioner - Marriage and Family Therapist 7911809330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3401 106TH Cir
Urbandale, IA 50322-3700

PO Box
Suite 516
Perry, IA 50220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
00066IAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Therapy and Psychological Solutions L.L.C. CurrentSince Jul 31, 2000 Accepting new patients

Locations

1426 Central Ave
Ste B
Fort Dodge, IA 50501
Phone (515) 573-5128

20244 141st St
Perry, IA 50220
Phone (515) 465-5739

600 1st Ave
Perry, IA 50220
Phone (515) 232-2640

3401 106th Cir
Urbandale, IA 50322
Phone (515) 254-1556

3275 W 4th St
Waterloo, IA 50701
Phone (319) 833-0072

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, 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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881667731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4713 PANORAMA DR",
            "city": "PANORA",
            "state": "IA",
            "postal_code": "502168632",
            "telephone_number": "515-229-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 1ST AVE",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502201803",
            "telephone_number": "515-465-5739",
            "fax_number": "515-465-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECRIST",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "00066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "18699",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, IA

Sources for this page

Verify at the official NPI Registry.