Nico Mackenzee Zvacek, T-LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

120903 Issued in IA

Practice address

1214 Dina CT Ste a
Hiawatha, IA 52233-4706

Phone

(319) 208-2150

Fax

(319) 774-0348

NPI assigned

Dec 28, 2023

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

Medicare enrollment (NPD)

Not 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.

• Prism Psychiatric Group LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hiawatha, IA
  • NPI 1821870908
  NPD
• Prism Therapy Group LLC

  • Marriage & Family Therapist
  • Hiawatha, IA
  • NPI 1700454121
  NPD

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1992574107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 DINA CT STE A",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522334706",
            "telephone_number": "319-208-2150",
            "fax_number": "319-774-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 DINA CT STE A",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522334706",
            "telephone_number": "319-208-2150",
            "fax_number": "319-774-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZVACEK",
        "first_name": "NICO",
        "middle_name": "MACKENZEE",
        "credential": "T-LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "120903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Weathers Wilson, M.D.
• Stephanie Wilson
• Kevin G Witt, DDS
• Tamia Young
• Cami Lynn Zlatohlavek, BCBA, LBA

• Marriage & Family Therapist in Hiawatha, IA
• Providers in Hiawatha, IA by specialty
• Marriage & Family Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.