Elizabeth Crystal Ploense, MS

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

5403 Victoria Ave
Davenport, IA 52807-3925

Phone

(563) 296-0877

NPI assigned

Jun 16, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Covenant Family Solutions, LLC

  • Community/Behavioral Health Agency
  • Cedar Rapids, IA
  • NPI 1407295280
  NPD

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1962027904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5403 VICTORIA AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073925",
            "telephone_number": "563-296-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5403 VICTORIA AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073925",
            "telephone_number": "563-296-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOENSE",
        "first_name": "ELIZABETH",
        "middle_name": "CRYSTAL",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kodee Plambeck, ARNP, DNP, FNP-C
• Plastic Surgery Center, P.C.
• Karin Pleasant, LCSW
• Gregory Dean Ploeger, D.C.
• Lisa Clare Ploehn, PHARMD
• Rachel Pobanz, PSY.D.
• Point to Point Transportation LLC
• Naomi R Polley, FNP
• Madeline Rose Pollock, M.S., CCC-SLP
• Christopher Michael Posey Sr., D.O.

• Counselor in Davenport, IA
• Providers in Davenport, IA by specialty
• Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.