Individual provider Active NPI

Marcy Lynn Thummel-Howard, TLMHC

  • Mental Health Counselor
  • Clarinda, IA
National Provider Identifier
1962915082
Registry record updated Nov 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
078886 Issued in IA
Practice address
619 Sunset Dr
Clarinda, IA 51632-2446
Phone
(515) 975-3151
NPI assigned
Nov 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 078886 IA Primary

Addresses

Primary practice location

619 Sunset Dr
Clarinda, IA 51632-2446

Mailing address

1820 N 16TH St
Clarinda, IA 51632-1165
Phone (712) 542-3103

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
I20240521000419 IA Practitioner - Mental Health Counselor 5799127957 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clarinda Regional Health Center Current Accepting new patients
Clarinda Regional Health Center Single Specialty CurrentSince Apr 1, 2024 Accepting new patients

Locations

220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330

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": "1510272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510272000000",
    "number": "1962915082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 N 16TH ST",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516321165",
            "telephone_number": "712-542-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 SUNSET DR",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322446",
            "telephone_number": "515-975-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUMMEL-HOWARD",
        "first_name": "MARCY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "TLMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-10",
        "last_updated": "2017-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "078886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarinda, IA

Sources for this page

Verify at the official NPI Registry.