Seasons Center For Mental Health
Counselor, Addiction (Substance Use Disorder) in Spencer, IA. Organization (NPI-2).
Details
- NPI
- 1487900965
- Entity type
- Organization (NPI-2)
- Legal business name
- Seasons Center For Mental Health
- Organization subpart
- No
- Enumeration date
- Aug 2, 2012
- Last updated
- Aug 2, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- 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 |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 05041 | IA | Yes |
| 101YM0800X | Counselor, Mental Health | 001530 | IA |
Practice location
201 E 11th StSpencer, IA 51301-4436
Phone 800-242-5101 · Fax 712-264-3177
Mailing address
201 E 11th StSpencer, IA 51301-4436
Phone 800-242-5101 · Fax 712-264-3177
Authorized official
Brenna A. Koedam
Substance Abuse Services Supervisor
8002425101
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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All 30 Addiction (Substance Use Disorder) Counselor providers in Spencer · All 467 providers in Spencer
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