| Therapy Place, Inc. | |
|
1307 Sunnyside Ln Atlantic IA 50022-2205 | |
| (712) 243-1213 | |
| (712) 243-4675 |
| Full Name | Therapy Place, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 1307 Sunnyside Ln, Atlantic, Iowa |
| Authorized Official Name and Position | Deborra Marie Smith (PRESIDENT) |
| Authorized Official Contact | 7122431213 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Place, Inc. Po Box 1 Panama IA 51562-0001 Ph: (712) 243-1213 | Therapy Place, Inc. 1307 Sunnyside Ln Atlantic IA 50022-2205 Ph: (712) 243-1213 |
| NPI Number | 1194886028 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8628042983 |
|---|---|
| Medicare Enrollment ID | O20040823000777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194886028 | NPI | - | NPPES |
| 250982000 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 00732 (Iowa) | Primary |
| Provider Name | Deborra M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093883431 PECOS PAC ID: 2264406586 Enrollment ID: I20050615000281 |
| Provider Name | Ann Marie Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457523599 PECOS PAC ID: 5698812964 Enrollment ID: I20091020000353 |
| Provider Name | Heather M Wilhelm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619035425 PECOS PAC ID: 0244276079 Enrollment ID: I20120419000146 |
| Provider Name | Sarah E Herzberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316070386 PECOS PAC ID: 3375850571 Enrollment ID: I20150921002881 |
| Provider Name | Brittney Baxter Dameron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750714853 PECOS PAC ID: 8224382296 Enrollment ID: I20181109000453 |
| Provider Name | Joanne Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245695295 PECOS PAC ID: 8628450152 Enrollment ID: I20220801001351 |
| Provider Name | Carly Nielsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376141820 PECOS PAC ID: 5890145726 Enrollment ID: I20231219001177 |
| Provider Name | Rachel Marie Harrelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407433915 PECOS PAC ID: 4587014360 Enrollment ID: I20231219003569 |
| Provider Name | Benjamin Daniel Wright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992334494 PECOS PAC ID: 2860843737 Enrollment ID: I20240105000258 |
| Provider Name | Nichole Marie Waterman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952921116 PECOS PAC ID: 8628429404 Enrollment ID: I20240105000856 |
| Provider Name | Lila K Stephens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215379243 PECOS PAC ID: 5991156739 Enrollment ID: I20240105003260 |
| Provider Name | Tausha Nicole Coffman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801164579 PECOS PAC ID: 3476904913 Enrollment ID: I20240109001536 |
| Provider Name | Jason David Swain |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700406584 PECOS PAC ID: 1153772421 Enrollment ID: I20240111000460 |
| Provider Name | Carol Ann Logan-brummer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669464897 PECOS PAC ID: 7618329491 Enrollment ID: I20240117002047 |
| Provider Name | Mckenzee Renkema |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255966271 PECOS PAC ID: 6204288913 Enrollment ID: I20240118001750 |
| Provider Name | Caitlin Kaufman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396103362 PECOS PAC ID: 6800248329 Enrollment ID: I20240122000244 |
Nishna Valley Mental Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 E 5th St, Atlantic, IA 50022 Phone: 712-249-7054 | |
Southwest Iowa Mental Health Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2307 Olive St, Atlantic, IA 50022 Phone: 712-243-2606 Fax: 712-243-2688 | |
Zion Integrated Behavioral Health Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2307 Olive St Apt 1, Atlantic, IA 50022 Phone: 712-243-2606 Fax: 712-243-1337 | |
Hope Recovery Center Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Linn St, Atlantic, IA 50022 Phone: 712-243-1700 | |
Sue's Kids Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1806 Sycamore Ave, Atlantic, IA 50022 Phone: 712-254-0108 |