Active NPI
Arlene Hammond, LMHC
- Specialist
- Le Mars, IA
National Provider Identifier
1992961965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 125 1St St NW
Le Mars, IA 51031-3507 - Phone
- (712) 522-1119
- Fax
- (711) 258-7969
- NPI assigned
- Jul 30, 2008
- Last updated
- Jan 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 106656 | IA | |
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
125 1St St NW
Le Mars, IA 51031-3507
Mailing address
125 1St St NW
Le Mars, IA 51031-3507
Phone (712) 522-1119
Other practice location 1
103 Walnut St
Clayton, NM 88415-3049
Phone (575) 374-2032
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | arlene@fortitudemh.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106656 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Noesis Integrative Health Inc | Past | Accepting new patients | |
| Tri-County Community Services, Inc | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- arlene@fortitudemh.com
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.
-
dba Krossroads Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Albuquerque, NM
- NPI 1053890418
-
- Recovery Care Clinic/Center
- Taos, NM
- NPI 1912995242
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1992961965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 1ST ST NW",
"city": "LE MARS",
"state": "IA",
"postal_code": "510313507",
"telephone_number": "712-522-1119",
"fax_number": "712-587-9695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 1ST ST NW",
"city": "LE MARS",
"state": "IA",
"postal_code": "510313507",
"telephone_number": "712-522-1119",
"fax_number": "711-258-7969"
}
],
"practiceLocations": [
{
"address_1": "103 Walnut St",
"address_purpose": "LOCATION",
"city": "Clayton",
"state": "NM",
"postal_code": "884153049",
"country_code": "US",
"telephone_number": "575-374-2032",
"fax_number": "575-374-0158",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMMOND",
"first_name": "ARLENE",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-30",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "106656",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "arlene@fortitudemh.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "125 1st St NW",
"city": "Le Mars",
"state": "IA",
"country_code": "US",
"postal_code": "510313507",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Le Mars, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.