Individual provider Active NPI

Nathan David Moline

  • Mental Health Counselor
  • Grinnell, IA
National Provider Identifier
1952907230
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
818 4TH Ave
Grinnell, IA 50112-2041
Phone
(641) 236-1644
NPI assigned
Dec 10, 2020
Last updated
Dec 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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 IA Primary

Addresses

Primary practice location

818 4TH Ave
Grinnell, IA 50112-2041

Mailing address

818 4TH Ave
Grinnell, IA 50112-2041
Phone (641) 236-1644

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nmoline@midwestcounselingllc.com Health Information Exchange (HIE) Ardent Community Wellnes Center
CONNECT URL nmoline@midwestcounselingllc.com Direct

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
I20260319000699 IA Practitioner - Mental Health Counselor 0143704098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Better Days Mental Health PCGroup PAC ID 1850742586, 11 clinicians

Practice addresses (Care Compare)

1345 SW Park Square Dr
Suite 206
Ankeny, IA 50023-2687
Phone (515) 346-3999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100940IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Better Days Mental Health PC Mental Health CurrentSince Apr 1, 2026 Accepting new patients
Rodasi LLC Mental Health CurrentSince Dec 13, 2020 Accepting new patients

Locations

1345 SW Park Square Dr
Ste 206
Ankeny, IA 50023
Phone (515) 329-7735

12247 Stratford Dr
Clive, IA 50325
Phone (515) 212-2091

818 4th Ave
Grinnell, IA 50112
Phone (641) 236-1644

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": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1952907230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501122041",
            "telephone_number": "641-236-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501122041",
            "telephone_number": "641-236-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINE",
        "first_name": "NATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmoline@midwestcounselingllc.com",
            "affiliation": "Y",
            "affiliationName": "Ardent Community Wellnes Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "503 E Jefferson Ave",
            "city": "Fairfield",
            "state": "IA",
            "country_code": "US",
            "postal_code": "525563144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nmoline@midwestcounselingllc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "818 4th Ave",
            "city": "Grinnell",
            "state": "IA",
            "country_code": "US",
            "postal_code": "501122041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grinnell, IA

Sources for this page

Verify at the official NPI Registry.