1790903235 NPI number — MS. CHRISTY J. MEYER LMHC

Table of content: MS. CHRISTY J. MEYER LMHC (NPI 1790903235)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790903235 NPI number — MS. CHRISTY J. MEYER LMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MEYER
Provider First Name:
CHRISTY
Provider Middle Name:
J.
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MEYER
Provider Other First Name:
CHRISTY
Provider Other Middle Name:
J
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMHC
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1790903235
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/05/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1063 14TH PLACE
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
DES MOINES
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50314
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
515-235-5224
Provider Business Mailing Address Fax Number:
866-672-0706

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1063 14TH PLACE
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
DES MOINES
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50314
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-235-5224
Provider Business Practice Location Address Fax Number:
866-672-0706
Provider Enumeration Date:
04/22/2007

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:  2423 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 10025444400 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com