| Aspire Counseling And Therapy Services Llc | |
|
6165 Nw 86th St Ste 233 Johnston IA 50131-2270 | |
| (515) 207-2230 | |
| (515) 207-2344 |
| Full Name | Aspire Counseling And Therapy Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 6165 Nw 86th St Ste 233, Johnston, Iowa |
| Authorized Official Name and Position | Susan Lang (OWNER/THERAPSIT) |
| Authorized Official Contact | 5152072230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire Counseling And Therapy Services Llc 6165 Nw 86th St Ste 233 Johnston IA 50131-2270 Ph: (515) 207-2230 | Aspire Counseling And Therapy Services Llc 6165 Nw 86th St Ste 233 Johnston IA 50131-2270 Ph: (515) 207-2230 |
| NPI Number | 1487460549 |
|---|---|
| Provider Enumeration Date | 12/04/2024 |
| Last Update Date | 12/27/2024 |
| Certification Date | 12/27/2024 |
| Medicare PECOS PAC ID | 6507392818 |
|---|---|
| Medicare Enrollment ID | O20241210003712 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487460549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Susan Lang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750606992 PECOS PAC ID: 6507215126 Enrollment ID: I20231207003970 |
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