1528913431 NPI number — MCCARVILLE COUNSELING SERVICES

Table of content: (NPI 1528913431)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528913431 NPI number — MCCARVILLE COUNSELING SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MCCARVILLE COUNSELING SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1528913431
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/04/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1059 1/2 FOSTER RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
IOWA CITY
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
52245-1548
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
319-284-4373
Provider Business Mailing Address Fax Number:
563-293-2746

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1059 1/2 FOSTER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
IOWA CITY
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52245-1548
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-284-4373
Provider Business Practice Location Address Fax Number:
563-293-2746
Provider Enumeration Date:
03/04/2026

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MCCARVILLE
Authorized Official First Name:
JACALYN
Authorized Official Middle Name:
BETH GROSLAND
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
319-284-4373

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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