Individual provider Active NPI

Lanaya Lynn Ethington, PH.D.

  • Counseling Psychologist
  • Iowa City, IA
National Provider Identifier
1992822670
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
001174 Issued in IA
Practice address
516 S Clinton St
Iowa City, IA 52240-4212
Phone
(319) 569-1710
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 001174 IA Primary

Addresses

Primary practice location

516 S Clinton St
Iowa City, IA 52240-4212

Mailing address

516 S Clinton St
Iowa City, IA 52240-4212
Phone (248) 767-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
001174IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Behavioral Health, LLC Counseling CurrentSince Nov 1, 2019 Accepting new patients

Locations

516 S Clinton St
Iowa City, IA 52240
Phone (319) 569-1710

720 S Dubuque St
Ste 1
Iowa City, IA 52240
Phone (319) 214-0409

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1992822670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 S CLINTON ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404212",
            "telephone_number": "248-767-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 S CLINTON ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404212",
            "telephone_number": "319-569-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETHINGTON",
        "first_name": "LANAYA",
        "middle_name": "LYNN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IA",
            "license": "001174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.