1568688042 NPI number — MS. BONNIE LYNN KAUTH LCPC LMHC

Table of content: MS. BONNIE LYNN KAUTH LCPC LMHC (NPI 1568688042)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568688042 NPI number — MS. BONNIE LYNN KAUTH LCPC LMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KAUTH
Provider First Name:
BONNIE
Provider Middle Name:
LYNN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCPC LMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568688042
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11340 95TH AVENUE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BLUE GRASS
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
52726
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
563-381-2802
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2208 7TH AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCK ISLAND
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
61201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
563-381-1823
Provider Business Practice Location Address Fax Number:
309-786-2201
Provider Enumeration Date:
04/17/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  00243 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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