Provider Demographics
NPI:1225514540
Name:NORTH IOWA COUNSELING, LLC
Entity Type:Organization
Organization Name:NORTH IOWA COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/CLINICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:D
Authorized Official - Last Name:HJELMELAND
Authorized Official - Suffix:
Authorized Official - Credentials:LISW IADC
Authorized Official - Phone:319-559-1065
Mailing Address - Street 1:PO BOX 102
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:IA
Mailing Address - Zip Code:50677-0102
Mailing Address - Country:US
Mailing Address - Phone:319-559-1065
Mailing Address - Fax:319-575-6065
Practice Address - Street 1:506 E BREMER AVE
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:IA
Practice Address - Zip Code:50677
Practice Address - Country:US
Practice Address - Phone:319-559-1065
Practice Address - Fax:319-575-6065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-19
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1174833537Medicaid