| Touching Lives Center, Llc | |
|
515 Pacific Ave Ste 1 Audubon IA 50025-1056 | |
| (712) 563-5285 | |
| (712) 563-5277 |
| Full Name | Touching Lives Center, Llc |
|---|---|
| Speciality | Counselor |
| Location | 515 Pacific Ave Ste 1, Audubon, Iowa |
| Authorized Official Name and Position | Lois Kay Potthoff (OWNER, THERAPIST) |
| Authorized Official Contact | 7125635285 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Touching Lives Center, Llc 515 Pacific Ave Ste 1 Audubon IA 50025-1056 Ph: (712) 563-5285 | Touching Lives Center, Llc 515 Pacific Ave Ste 1 Audubon IA 50025-1056 Ph: (712) 563-5285 |
| NPI Number | 1225805799 |
|---|---|
| Provider Enumeration Date | 12/05/2023 |
| Last Update Date | 01/06/2026 |
| Certification Date | 01/06/2026 |
| Medicare PECOS PAC ID | 0840735247 |
|---|---|
| Medicare Enrollment ID | O20240710001519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225805799 | NPI | - | NPPES |
| 1140292 | Medicaid | IA | |
| 0504297 | Medicaid | IA | |
| 0140292 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lois Kay Potthoff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811334519 PECOS PAC ID: 3476098880 Enrollment ID: I20240710001981 |
| Provider Name | Kevin James Reynolds |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750824934 PECOS PAC ID: 8123563319 Enrollment ID: I20240711003820 |
| Provider Name | Thea Guest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427422260 PECOS PAC ID: 5496280927 Enrollment ID: I20241121000258 |
Miller Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 Broadway St, Audubon, IA 50025 Phone: 612-756-1313 |