NPIMap

Organization Active NPI

Counseling and Support Services Inc

  • Social Worker
  • Sioux City, IA
National Provider Identifier
1902108285
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
03843 Issued in IA
Legal business name
COUNSELING AND SUPPORT SERVICES INC
Practice address
705 Douglas St
524
Sioux City, IA 51101-1048
Phone
(712) 224-2774
Fax
(712) 224-2775
NPI assigned
Nov 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Tonya Michelle Meier, SOCIAL WORKERNPI 1538388194
Title
President
Phone
(712) 224-2774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 03843 IA Primary

Addresses

Primary practice location

705 Douglas St
524
Sioux City, IA 51101-1048

Mailing address

705 Douglas St
524
Sioux City, IA 51101-1048
Phone (712) 224-2774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110523000707 IA Part B Supplier - Clinic/Group Practice 5496931610 Receives reassigned benefits from 1 practitioner
Practice locations: Sioux City, IA

National Provider Directory

National Provider Directory

Locations

421 Nebraska St
Sioux City, IA 51101
Phone (712) 224-2774

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1902108285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 DOUGLAS ST",
            "address_2": "524",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011048",
            "telephone_number": "712-224-2774",
            "fax_number": "712-224-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 DOUGLAS ST",
            "address_2": "524",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011048",
            "telephone_number": "712-224-2774",
            "fax_number": "712-224-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AND SUPPORT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "MEIER",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-224-2774",
        "authorized_official_credential": "SOCIAL WORKER"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "IA",
            "license": "03843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.