| Seasons Center For Behavioral Health | |
|
201 E 11th St Spencer IA 51301-4436 | |
| (712) 262-2922 | |
| (712) 262-3826 |
| Full Name | Seasons Center For Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 E 11th St, Spencer, Iowa |
| Authorized Official Name and Position | Dan Ries (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 7122622922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seasons Center For Behavioral Health 201 E 11th St Spencer IA 51301-4436 Ph: (712) 262-2922 | Seasons Center For Behavioral Health 201 E 11th St Spencer IA 51301-4436 Ph: (712) 262-2922 |
| NPI Number | 1689669459 |
|---|---|
| Provider Enumeration Date | 09/16/2005 |
| Last Update Date | 04/09/2013 |
| Medicare PECOS PAC ID | 6204730450 |
|---|---|
| Medicare Enrollment ID | O20031120000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689669459 | NPI | - | NPPES |
| 0011650 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Carlos S Castillo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659358620 PECOS PAC ID: 2062486293 Enrollment ID: I20060228000773 |
| Provider Name | Chelsi J Jahn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710376520 PECOS PAC ID: 8527336478 Enrollment ID: I20170616001439 |
| Provider Name | Rebecca J Nosbusch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235760125 PECOS PAC ID: 6709202443 Enrollment ID: I20200804001134 |
| Provider Name | Lindsay Kristina Harms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902596828 PECOS PAC ID: 8123481082 Enrollment ID: I20230825001679 |
| Provider Name | Kylie Amber Hepp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902575913 PECOS PAC ID: 6709231079 Enrollment ID: I20231006002436 |
| Provider Name | Benjamin John Kolars |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437792793 PECOS PAC ID: 0042660615 Enrollment ID: I20231221003306 |
| Provider Name | Chandler Koehler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164036323 PECOS PAC ID: 6305296906 Enrollment ID: I20231222000539 |
| Provider Name | Brittany Krause |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659939437 PECOS PAC ID: 9537519145 Enrollment ID: I20231222000737 |
| Provider Name | Kari Ann Van Dam |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750940573 PECOS PAC ID: 5092165530 Enrollment ID: I20231227000570 |
| Provider Name | Leah Michele Wilhite |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851947824 PECOS PAC ID: 1951751312 Enrollment ID: I20231227001510 |
| Provider Name | Michelle Rae Theesfeld |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255634846 PECOS PAC ID: 4981054087 Enrollment ID: I20240102003429 |
| Provider Name | Kari Lynn Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528361102 PECOS PAC ID: 9830540814 Enrollment ID: I20240104001639 |
| Provider Name | Lia Lyn Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588963565 PECOS PAC ID: 0941207807 Enrollment ID: I20240109002847 |
| Provider Name | Anne Reiter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558742932 PECOS PAC ID: 1456702695 Enrollment ID: I20240111003271 |
Spencer Psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 1st Ave E, Suite A, Spencer, IA 51301 Phone: 712-262-1808 Fax: 712-262-5532 | |
Seasons Center For Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E 11th St, Spencer, IA 51301 Phone: 800-242-5101 Fax: 712-264-3177 | |
Seasons Center For Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E 11th St, Spencer, IA 51301 Phone: 712-262-2922 Fax: 712-262-3826 | |
Seasons Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E 11th St, Spencer, IA 51301 Phone: 712-262-2922 Fax: 712-262-3826 | |
Northwest Iowa Counseling Associates Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 20 W 6th St Ste 104, Spencer, IA 51301 Phone: 712-262-1111 Fax: 712-262-6180 | |
Spencer Municipal Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1200 1st Ave E, Spencer, IA 51301 Phone: 712-264-6111 Fax: 712-264-6525 |