Active NPI
Andrea J Storjohann, ARNP, CADC
- Psychiatric/Mental Health Nurse Practitioner
- Marshalltown, IA
National Provider Identifier
1942745377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- G158390
- Practice address
- 412 E Church St
Marshalltown, IA 50158-2947 - Phone
- (641) 753-4021
- Fax
- (641) 844-6222
- NPI assigned
- Dec 20, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | T16170 | IA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | G158390 | IA | Primary |
Addresses
Primary practice location
412 E Church St
Marshalltown, IA 50158-2947
Mailing address
1200 University Ave Ste 200
Des Moines, IA 50314-2355
Phone (515) 248-1447
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
320 N Eisenhower Ave
Mason City, IA 50401-1521
Phone (641) 424-2391
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T16170 | IA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Ridge Integrated Behavioral Healthcare | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Align Wellness LLC | Current | Accepting new patients | |
| Prairie Ridge Integrated Behavioral Healthcare | Current | Accepting new patients |
Locations
320 N Eisenhower Ave
Mason City, IA 50401
Phone (641) 423-1481
Organizations & group practices 3
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.
-
dba Prairie Ridge
- Substance Abuse Rehabilitation Facility
- Mason City, IA
- NPI 1952443632
Addiction (Substance Use Disorder)
-
- Clinic/Center
- Marshalltown, IA
- NPI 1972335867
-
dba Prairie Ridge
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mason City, IA
- NPI 1801637061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589932800000",
"number": "1942745377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 UNIVERSITY AVE STE 200",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503142355",
"telephone_number": "515-248-1447",
"fax_number": "515-248-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 E CHURCH ST",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501582947",
"telephone_number": "641-753-4021",
"fax_number": "641-844-6222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORJOHANN",
"first_name": "ANDREA",
"middle_name": "J",
"credential": "ARNP, CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-20",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IA",
"license": "T16170",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IA",
"license": "G158390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marshalltown, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.