Paw Print Mental Health Services, LLC
Counselor, Mental Health in Waverly, IA. Organization (NPI-2).
NPI number1134097397
StatusActive
Last updated in NPPESOct 28, 2025
Details
- NPI
- 1134097397
- Entity type
- Organization (NPI-2)
- Legal business name
- Paw Print Mental Health Services, LLC
- Organization subpart
- No
- Enumeration date
- Oct 28, 2025
- Certification date
- Oct 28, 2025
- Last updated
- Oct 28, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
709 3rd St SwWaverly, IA 50677-3233
Phone 563-608-4811
Mailing address
709 3rd St SwWaverly, IA 50677-3233
Phone 563-608-4811
Authorized official
Abby Anne Shannon
Clinical Mental Health Therapist
5636084811
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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