Rebeca Leigh Krogan, CADC, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110361 Issued in IA

Practice address

320 N Eisenhower Ave
Mason City, IA 50401-1521

Phone

(641) 243-7283

NPI assigned

Jul 11, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prairie Ridge Integrated Behavioral HealthcareGroup PAC ID 6800169194, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Prairie Ridge Integrated Behavioral Healthcare

  • Substance Abuse Rehabilitation Facility
  • Mason City, IA
  • NPI 1952443632

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD
• Prairie Ridge Integrated Behavioral Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mason City, IA
  • NPI 1801637061
  NPD

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1932685161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N EISENHOWER AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504011521",
            "telephone_number": "641-243-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N EISENHOWER AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504011521",
            "telephone_number": "641-243-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROGAN",
        "first_name": "REBECA",
        "middle_name": "LEIGH",
        "credential": "CADC, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "19017",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "110361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkrogan@prairieridge.net",
            "affiliation": "N",
            "address_1": "320 N Eisenhower Ave",
            "city": "Mason City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504011521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patrick David Kolker, DDS
• Angela Dawn Konrad, DO
• Michael L Korthals, O.D.
• Deborah Kreimeyer, OT
• Jill Kreimeyer, BA
• Steven S Krogh, MD
• Samantha Jo Krones, PA-C
• Donald L Kropf, MD
• Joyce K Krukow, LISW
• Rupesh Kshetri, MD

• Clinical Social Worker in Mason City, IA
• Providers in Mason City, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.