MARISA CATHERINE MICKUNAS (NPI# 1053808006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053808006 |
| Entity Type | Individual |
| Full Name | MARISA CATHERINE MICKUNAS |
| Credential | MS CRC |
| Practice Address |
1301 Center St Des Moines IA 50309-1004 |
| Mailing Address |
1612 31st St Des Moines IA 50311-2810 |
| Practice Telephone | 5152432760 |
| Practice Fax Number | 5152432760 |
| Mailing Telephone | 5154023799 |
| Mailing Fax Number | 5152432760 |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
090226 | IA | Behavioral Health & Social Service Providers |
| Street Address |
1301 CENTER ST |
| City | DES MOINES |
| State | IA |
| Zip Code | 50309-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982657490 | Eyerly Ball Community Mental Health Services | Clinic/Center | 1301 Center St, Des Moines, IA 50309-1004 | 2006-05-18 |
| 1366042251 | Meghann A. Hart | Social Worker | 1301 Center St, Des Moines, IA 50309-1004 | 2020-10-29 |
| 1144873282 | Kennedy Laville Thoren | Registered Nurse | 1301 Center St, Des Moines, IA 50309-1004 | 2019-07-18 |
| 1710549894 | Veronica Holloway | Nurse Practitioner | 1301 Center St, Des Moines, IA 50309-1004 | 2019-06-28 |
| 1023581451 | Marshall Dean Abbe IIi | Social Worker | 1301 Center St, Des Moines, IA 50309-1004 | 2019-01-08 |
| 1215423348 | Kimberly Kaye Wilson | Social Worker | 1301 Center St, Des Moines, IA 50309-1004 | 2018-07-01 |
| 1265964761 | Kimberlee Gregory | Social Worker | 1301 Center St, Des Moines, IA 50309-1004 | 2017-04-03 |
| 1306386313 | John Francis Morrow | Social Worker | 1301 Center St, Des Moines, IA 50309-1004 | 2017-02-24 |
| 1295175685 | Harold Lars Peterson | Social Worker | 1301 Center St, Des Moines, IA 50309-1004 | 2013-06-28 |
| 1255662193 | Jane A Koster | Social Worker | 1301 Center St, Des Moines, IA 50309-1004 | 2010-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126894 | Marie Danielle Leblanc | Surgery | Anna Blank Building, Level 2, Dept Pediatric Surgery, 1206 Pleasant Street, Des Moines, IA 50309 | 2020-05-27 |
| 1538710421 | Macy Mckendree | Social Worker | 918 Se 11th St., Des Moines, IA 50309 | 2019-09-23 |
| 1750938825 | Paradocs Psychological Services | Clinic/Center | 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 | 2019-08-22 |
| 1003315011 | Hyvacs, LLC | Durable Medical Equipment & Medical Supplies | 215 10th St Ste 110, Des Moines, IA 50309 | 2018-02-05 |
| 1770005746 | Jacob Michael Boyle | Chiropractor | 500 Sw 7th St Ste 205, Des Moines, IA 50309 | 2017-07-12 |
| 1831646140 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 309 Court Ave, Ste 811, Des Moines, Ia, 50309, Ste 811, Des Moines, IA 50309 | 2016-09-02 |
| 1457807000 | Patricia Bularzik | Social Worker | 808 5th Avenue, Des Moines, IA 50309 | 2016-09-01 |
| 1396128492 | Sarah Lynn Cavan | Social Worker | 1301 Center, Eyerly Ball Community Mental Health Center, Des Moines, IA 50309 | 2015-07-07 |
| 1104204056 | Andrea Lynn Jones | Social Worker | 600 E Court Ste 200, Des Moines, IA 50309 | 2015-05-12 |
| 1811388937 | Matthew Zirretta | Physical Therapist | 1515 Linden Street, 1st Floor, Integrated Physical Therapy & Sports Medicine, Des Moines, IA 50309 | 2015-02-11 |
| Find all providers in zip 50309 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922557 | Forward Consulting LLC | Counselor | 4309 University Ave, Des Moines, IA 50311-3423 | 2020-11-03 |
| 1104424779 | Marissa Schuster-ramirez | Counselor | 1611 31st St, Des Moines, IA 50311-2809 | 2020-10-15 |
| 1396399978 | Jenny Erdman | Counselor | 2209 36th St, Des Moines, IA 50310-4408 | 2019-07-31 |
| 1568023182 | Infinity Assessment Services LLC | Counselor | 100 E Euclid Ave Ste 131, Des Moines, IA 50313-4540 | 2019-06-25 |
| 1932763521 | Choices Therapy Services, LLC | Counselor | 3805 Lower Beaver Rd, Des Moines, IA 50310-4708 | 2019-04-29 |
| 1427531987 | David Higdon | Counselor | 6000 Aurora, Suite B, Des Moines, IA 50322-5032 | 2018-09-11 |
| 1588147979 | William Spencer | Counselor | 1063 14th Pl # A, Des Moines, IA 50314-1245 | 2018-09-11 |
| 1457830184 | Deborah L Devries | Counselor | 28313 Redondo Way S Apt 104, Des Moines, WA 98198-8256 | 2018-08-13 |
| 1699288498 | Vincent Kelly | Counselor | 4910 Urbandale Ave Ste 304, Des Moines, IA 50310-2661 | 2017-11-15 |
| 1851839864 | Lawrence Scanlon | Counselor | 412 42nd St, Des Moines, IA 50312 | 2017-02-09 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50309 |
Please comment or provide details below to improve the information on MARISA CATHERINE MICKUNAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.