| Samantha Graham, LMHC | |
|
180 10th St Se Ste 201, Le Mars, IA 51031-2557 | |
| (712) 546-4624 | |
| Not Available |
| Full Name | Samantha Graham |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 8 Years |
| Location | 180 10th St Se Ste 201, Le Mars, Iowa |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073037420 | NPI | - | NPPES |
| 1184706566 | Medicaid | IA | |
| 1497930572 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 088121 (Iowa) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Moxie Nova | 3971046897 | 3 |
| Entity Name | Plains Area Mental Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801867734 PECOS PAC ID: 5395649743 Enrollment ID: O20031126000289 |
| Entity Name | Moxie Nova |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609551787 PECOS PAC ID: 3971046897 Enrollment ID: O20240620001656 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Graham, LMHC Po Box 70, Le Mars, IA 51031-0070 Ph: (712) 546-4624 | Samantha Graham, LMHC 180 10th St Se Ste 201, Le Mars, IA 51031-2557 Ph: (712) 546-4624 |
Dr. Jacob Jerry Jackson, PHD, LMHC, CADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 180 10th St Se Ste 201, Le Mars, IA 51031 Phone: 712-546-4624 Fax: 712-546-9395 | |
Tracy May Delao, T-CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 180 10th St Se Ste 201, Le Mars, IA 51031 Phone: 712-546-4624 Fax: 712-546-9395 | |
Ms. Kelley Dickey Cuddy, LMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 180 10th St Se Ste 201, Le Mars, IA 51031 Phone: 712-546-4624 Fax: 712-546-9395 | |
Adrienne Morehead, TLMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 1st St Nw, Le Mars, IA 51031 Phone: 712-222-1459 Fax: 712-222-1460 | |
Joshua Van Zweden, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19 Lincoln St Se, Le Mars, IA 51031 Phone: 712-546-7868 Fax: 712-546-7869 | |
Leslie Ann Mohr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 180 10th St Se, Suite 201, Le Mars, IA 51031 Phone: 712-546-4624 |