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320 W. Cherry St North Liberty IA 52317 | |
| (319) 626-3300 | |
| (319) 626-3084 |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 320 W. Cherry St, North Liberty, Iowa |
| Authorized Official Name and Position | Christopher Okiiski (M.D.) |
| Authorized Official Contact | 3196263300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
320 W. Cherry St North Liberty IA 52317 Ph: (319) 626-3300 | 320 W. Cherry St North Liberty IA 52317 Ph: (319) 626-3300 |
| NPI Number | 1023141330 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 07/15/2019 |
| Medicare PECOS PAC ID | 8921331836 |
|---|---|
| Medicare Enrollment ID | O20190607002380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023141330 | NPI | - | NPPES |
| 28084 | Other | IA | BC PROVIDER NUMBER |
| Provider Name | Robin Cook Kopelman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093701880 PECOS PAC ID: 9436050176 Enrollment ID: I20040116000121 |
| Provider Name | Christopher G Okiishi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598750432 PECOS PAC ID: 1951343714 Enrollment ID: I20050523000974 |
| Provider Name | Tess M Judge Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902996382 PECOS PAC ID: 2062433170 Enrollment ID: I20051215000730 |
| Provider Name | Kathryn Dinneen Crane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033216726 PECOS PAC ID: 0143237503 Enrollment ID: I20060310000088 |
| Provider Name | Todd G Kopelman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063699668 PECOS PAC ID: 3476637513 Enrollment ID: I20080227000562 |
| Provider Name | Dennis L Dozier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245411339 PECOS PAC ID: 1850455916 Enrollment ID: I20090204000347 |
| Provider Name | Lance V Clemsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639164304 PECOS PAC ID: 9032276852 Enrollment ID: I20090324000069 |
| Provider Name | Gabriela Cherascu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669461232 PECOS PAC ID: 0042123952 Enrollment ID: I20100714000804 |
| Provider Name | Jennifer J Drew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285183624 PECOS PAC ID: 3678854148 Enrollment ID: I20161222000235 |
| Provider Name | Laura Lundell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518336916 PECOS PAC ID: 4486920071 Enrollment ID: I20171026001263 |
| Provider Name | Jill A Connors |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013322379 PECOS PAC ID: 4385907641 Enrollment ID: I20180419000390 |
| Provider Name | Myleena R Grenis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396169843 PECOS PAC ID: 6901150952 Enrollment ID: I20181112000711 |
| Provider Name | Katrina Lynn Fults |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447588660 PECOS PAC ID: 9133465024 Enrollment ID: I20190114003120 |
| Provider Name | Michael D Markham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588298467 PECOS PAC ID: 5193124980 Enrollment ID: I20210527001619 |
| Provider Name | Pamela F Moen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447601406 PECOS PAC ID: 2365846094 Enrollment ID: I20210803001982 |
| Provider Name | Lea J Boldt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649945114 PECOS PAC ID: 8820494867 Enrollment ID: I20210831001194 |
| Provider Name | Sara E Wise |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639776313 PECOS PAC ID: 0547658791 Enrollment ID: I20211021000726 |
| Provider Name | Sarah Salamati |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730557679 PECOS PAC ID: 4981085552 Enrollment ID: I20220714001037 |
| Provider Name | Jessica Royal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821734195 PECOS PAC ID: 8729455506 Enrollment ID: I20221108001421 |
| Provider Name | Lisa Austin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619637212 PECOS PAC ID: 8325413503 Enrollment ID: I20230403000168 |
| Provider Name | Trent Heck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760610760 PECOS PAC ID: 6305065418 Enrollment ID: I20230503000360 |
| Provider Name | Holly Fueston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861040990 PECOS PAC ID: 3779945423 Enrollment ID: I20230814000949 |
| Provider Name | Ian Kerns |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1801291968 PECOS PAC ID: 9931434230 Enrollment ID: I20231219002256 |
| Provider Name | Kristyn Gerst |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346764529 PECOS PAC ID: 6901256395 Enrollment ID: I20231227002603 |
| Provider Name | Jillian Polaski |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407374689 PECOS PAC ID: 1153771548 Enrollment ID: I20231227002683 |
| Provider Name | Eugenia Hofammann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417591785 PECOS PAC ID: 0446600498 Enrollment ID: I20240103001574 |
| Provider Name | Sandra Kessler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285881904 PECOS PAC ID: 6103277199 Enrollment ID: I20240103003524 |
| Provider Name | Luca Reid |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598019366 PECOS PAC ID: 5991156887 Enrollment ID: I20240104002225 |
| Provider Name | Elizabeth Clark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528417078 PECOS PAC ID: 1951637198 Enrollment ID: I20240104002855 |
| Provider Name | Monica Schmidt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972027019 PECOS PAC ID: 3375870868 Enrollment ID: I20240125001115 |
| Provider Name | Rachel Epley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215601398 PECOS PAC ID: 7315383254 Enrollment ID: I20240313003014 |
| Provider Name | Emily Michener |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871066399 PECOS PAC ID: 0345576112 Enrollment ID: I20240903003710 |
Journey Counseling Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 555 W Cherry St Ste 3, North Liberty, IA 52317 Phone: 319-541-7253 | |
Holistic Wellness & Psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W Cherry St, North Liberty, IA 52317 Phone: 319-800-2125 Fax: 855-300-4759 | |
Rise Family Therapy Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 595 Ashley Ct Ste 1, North Liberty, IA 52317 Phone: 319-626-2244 Fax: 319-409-9265 | |
Family Wellbeing Associates, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 723 Pacha Pkwy, North Liberty, IA 52317 Phone: 319-775-0074 Fax: 319-774-6775 | |
Imagine Therapy Solutions, Plc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 575 Cameron Way, Unit A, North Liberty, IA 52317 Phone: 319-626-2558 | |
Wise Home Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 N Park Ridge Rd, North Liberty, IA 52317 Phone: 319-400-8579 |