| North Iowa Counseling, Llc | |
|
506 E Bremer Ave Waverly IA 50677 | |
| (319) 559-1065 | |
| (319) 575-6065 |
| Full Name | North Iowa Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 506 E Bremer Ave, Waverly, Iowa |
| Authorized Official Name and Position | Brad D Hjelmeland (EXECUTIVE DIRECTOR/CLINICIAN) |
| Authorized Official Contact | 3195591065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Iowa Counseling, Llc Po Box 102 Waverly IA 50677-0102 Ph: (319) 559-1065 | North Iowa Counseling, Llc 506 E Bremer Ave Waverly IA 50677 Ph: (319) 559-1065 |
| NPI Number | 1225514540 |
|---|---|
| Provider Enumeration Date | 07/19/2018 |
| Last Update Date | 05/04/2021 |
| Certification Date | 05/04/2021 |
| Medicare PECOS PAC ID | 2264831239 |
|---|---|
| Medicare Enrollment ID | O20210524001838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225514540 | NPI | - | NPPES |
| 1174833537 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Julie L Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245247865 PECOS PAC ID: 5890967442 Enrollment ID: I20111004000655 |
| Provider Name | Bradley D Hjelmeland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174833537 PECOS PAC ID: 9931366986 Enrollment ID: I20120203000122 |
| Provider Name | Rae L Chase |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861916835 PECOS PAC ID: 7810396876 Enrollment ID: I20210524001704 |
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