LIFE CHANGE SOLUTIONS, INC. (NPI# 1306185632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306185632 |
| Entity Type | Organization |
| Organization Name | LIFE CHANGE SOLUTIONS, INC. |
| Practice Address |
103 E State St Ste 301 Mason City IA 50401-3300 |
| Mailing Address |
Po Box 912 Mason City IA 50402-0912 |
| Practice Telephone | 6412011521 |
| Practice Fax Number | 6412011521 |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-04-11 |
| Authorized Official Name | MARK C DODD (DIRECTOR) |
| Authorized Official Telephone | 6414206959 |
| Authorized Official Credential | LMHC CADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 00293 | IA | Agencies |
| Street Address |
103 E STATE ST STE 301 |
| City | MASON CITY |
| State | IA |
| Zip Code | 50401-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548480635 | George J Daskalos | Dentist | 103 E State St, Suite 701, Mason City, IA 50401 | 2007-04-30 |
| 1942868955 | Emily Ehlke | Social Worker | 103 E State St, Mason City, IA 50401-3300 | 2019-06-04 |
| 1639545064 | Valerie Tichy | Counselor | 103 E State St, Suite 613, Mason City, IA 50401-3300 | 2015-08-19 |
| 1245675065 | Mark Christopher Dodd | Counselor | 103 E State St, Ste 301, Mason City, IA 50401-3300 | 2013-05-07 |
| 1114215613 | Holly L Ruter | Social Worker | 103 E State St, Suite 613, Mason City, IA 50401-3300 | 2011-07-18 |
| 1386811990 | Cody Alan Williams | Counselor | 103 E State St, Suite 524, Mason City, IA 50401-3300 | 2008-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1548829989 | Debra Lynn Perzynski | Counselor | 103 E State St Suite 301, Brick and Tile Building, Mason City, IA 50401 | 2019-06-10 |
| 1851858617 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| 1578055521 | Alex Jon Uhlenhopp | Optometrist | 422 S Pierce Ave Ste 1, Mason City, IA 50401 | 2018-06-05 |
| 1538672985 | Bonnie Jean Burnett | Hearing Instrument Specialist | 704 16th St. Ne, Mason City, IA 50401 | 2017-11-08 |
| 1639691009 | Jeremy Baker | Counselor | 320 N Eisenhower Avenue, Mason City, IA 50401 | 2017-07-07 |
| 1437689940 | Medi-dent, Inc. | Psychiatry & Neurology | 1050 15th St. S.w., Suite 2, Mason City, IA 50401 | 2017-06-18 |
| 1922485283 | Jamie Lynn Heard | Social Worker | 50 N. Eisenhower Ave., Mason City, IA 50401 | 2015-05-06 |
| 1558756999 | Tyler Borchardt | Specialist/Technologist | 640 South Indiana Avenue, Mason City, IA 50401 | 2015-04-02 |
| 1811339203 | Siddiq A. Khan | General Practice | 520 S. Pierce Ave. Suite 150, Mason City, IA 50401 | 2013-07-25 |
| Find all providers in zip 50401 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083760078 | Parents United of North Central Iowa, Inc | Community/Behavioral Health | 600 1st St Nw Ste 107, Mason City, IA 50401-2912 | 2007-01-25 |
| 1962677088 | Behavorial Health Options Plc | Community/Behavioral Health | 1522 6th St Sw, Mason City, IA 50401-4820 | 2008-04-29 |
| 1003969148 | Avalon Center | Community/Behavioral Health | 22 N Georgia Ave, Suite #102, Mason City, IA 50401-3435 | 2007-01-20 |
| 1578634143 | North Iowa Transition Center | Community/Behavioral Health | 408 1st St Nw, Mason City, IA 50401-3004 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417031 | Symmetry Health, LLC | Community/Behavioral Health | 2104 Palmer Cir, Iowa City, IA 52240-5900 | 2020-11-05 |
| 1407462625 | Caring Hearts of West Central Iowa, LLC | Community/Behavioral Health | 702 San Salvador Ave, Carroll, IA 51401-1838 | 2020-09-22 |
| 1538787304 | Resourcefull Unlimited | Community/Behavioral Health | 1131 E 39th St, Davenport, IA 52807-1758 | 2020-07-08 |
| 1376168799 | Melissa Genreau Lmhc Pllc | Community/Behavioral Health | 373 Collins Rd Ne Ste 200, Cedar Rapids, IA 52402-3167 | 2020-06-11 |
| 1659991610 | Kivisto Counseling and Therapy LLC | Community/Behavioral Health | 2550 Middle Rd Ste 3, Bettendorf, IA 52722-3298 | 2020-04-20 |
| 1538794110 | Mindful Connections, LLC | Community/Behavioral Health | 3731 Pheasant Ln # 203, Waterloo, IA 50701-5215 | 2020-03-04 |
| 1982245403 | Unique Affinity Dynamics, LLC | Community/Behavioral Health | 200 W Cleveland St, Olin, IA 52320-9523 | 2019-10-06 |
| 1417507872 | Jason Smith Assessment and Counseling Associates | Community/Behavioral Health | 950 Office Park Rd Ste 235, West Des Moines, IA 50265-2121 | 2019-09-18 |
| 1750945135 | Basurto Behavioral Health, LLC | Community/Behavioral Health | 3316 Cedar Heights Dr Ste A, Cedar Falls, IA 50613-6083 | 2019-05-01 |
| 1730640830 | Hope Community Living of Iowa,inc. | Community/Behavioral Health | 3702 162nd St, Urbandale, IA 50323-2582 | 2019-03-29 |
| Find all providers with the same taxonomy | ||||
| City | MASON CITY |
| Zip Code | 50401 |
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| 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.