| Driftless Counseling Llc | |
|
1111 Paine St Ste L Decorah IA 52101-2411 | |
| (319) 361-4248 | |
| Not Available |
| Full Name | Driftless Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 1111 Paine St Ste L, Decorah, Iowa |
| Authorized Official Name and Position | Shannon Breitenstein (THERAPIST/OWNER) |
| Authorized Official Contact | 3193614248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Driftless Counseling Llc 3920 Glass Rd Ne Apt B Cedar Rapids IA 52402-2508 Ph: (319) 361-4248 | Driftless Counseling Llc 1111 Paine St Ste L Decorah IA 52101-2411 Ph: (319) 361-4248 |
| NPI Number | 1407627839 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 09/29/2024 |
| Certification Date | 09/29/2024 |
| Medicare PECOS PAC ID | 2769915107 |
|---|---|
| Medicare Enrollment ID | O20241024000395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407627839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Shannon Christine Breitenstein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215534359 PECOS PAC ID: 3678006012 Enrollment ID: I20241024000746 |
Margaret M Hammes Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 314 W Main St, Decorah, IA 52101 Phone: 563-387-7433 | |
Heron Consulting, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 Sunrise Blvd, Decorah, IA 52101 Phone: 563-419-1124 Fax: 563-387-2303 | |
Restorative Therapy & Psychiatric Care, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Paine St, Decorah, IA 52101 Phone: 563-379-8969 | |
Choice Employment Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 Decorah Ave, Decorah, IA 52101 Phone: 563-419-8278 | |
Counseling Associates Of Ne Iowa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 806 Commerce Dr Ste A, Decorah, IA 52101 Phone: 563-387-8028 |