Lifesource Of North Carolina - Medicare Mental Health Clinic in Cedar Falls, IA

Lifesource Of North Carolina is a medicare enrolled mental health clinic (Social Worker - Clinical) in Cedar Falls, Iowa. The current practice location for Lifesource Of North Carolina is 1728 W 8th St, Cedar Falls, Iowa. For appointments, you can reach them via phone at (910) 742-9243. The mailing address for Lifesource Of North Carolina is Po Box 538622, Atlanta, Georgia and phone number is (910) 742-9243.

Lifesource Of North Carolina is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1801431440. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (910) 742-9243.

Contact Information

Lifesource Of North Carolina
1728 W 8th St
Cedar Falls
IA 50613-2002
(910) 742-9243
(888) 746-1787

Mental Health Clinic Profile

Full NameLifesource Of North Carolina
SpecialitySocial Worker
Location1728 W 8th St, Cedar Falls, Iowa
Authorized Official Name and PositionPeggy Baddour (PRESIDENT)
Authorized Official Contact9107779165
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lifesource Of North Carolina
Po Box 538622
Atlanta
GA 30353-8622

Ph: (910) 742-9243
Lifesource Of North Carolina
1728 W 8th St
Cedar Falls
IA 50613-2002

Ph: (910) 742-9243

NPI Details:

NPI Number1801431440
Provider Enumeration Date11/07/2019
Last Update Date03/26/2021
Certification Date03/26/2021

Medicare PECOS Information:

Medicare PECOS PAC ID7416132428
Medicare Enrollment IDO20200116001140

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Medical Identifiers

Medical identifiers for Lifesource Of North Carolina such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801431440NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Primary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lifesource Of North Carolina acts as a billing entity for following providers:
Provider NameDieter Boxmann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023178548
PECOS PAC ID: 5092733428
Enrollment ID: I20070917000040

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Provider NameKimberly Cafaro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942642426
PECOS PAC ID: 5890926208
Enrollment ID: I20180810001904

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Provider NameEkaete Oyeka
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366093692
PECOS PAC ID: 7618304247
Enrollment ID: I20200220002453

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Provider NameJames Gilder Bouknight
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1174584916
PECOS PAC ID: 3476525593
Enrollment ID: I20200326000831

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Provider NameJustine Uselding
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1932219284
PECOS PAC ID: 5597766881
Enrollment ID: I20200504001277

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Provider NameAmy Mitchell
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992340970
PECOS PAC ID: 5294620464
Enrollment ID: I20200526000512

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Provider NameBryce Yates
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487184446
PECOS PAC ID: 4688931298
Enrollment ID: I20210303001691

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Provider NameMelissa Gambrell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821492869
PECOS PAC ID: 3274853072
Enrollment ID: I20210318000912

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Provider NameErin Honke
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1093088312
PECOS PAC ID: 5890068977
Enrollment ID: I20210811001720

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Social Worker in Cedar Falls, IA

Katie Rogers Counseling Pllc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 215 Franklin St, Cedar Falls, IA 50613
Phone: 319-214-5626    
Rachael Jorgensen, Pllc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 215 Franklin St, Cedar Falls, IA 50613
Phone: 319-415-6405    
Robert Boezinger, Pllc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 215 Franklin Street, Cedar Falls, IA 50613
Phone: 563-340-6545    
Extension Of Grace
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 4615 Chadwick Rd, Cedar Falls, IA 50613
Phone: 319-255-5660    Fax: 319-237-7639
Life Steps Therapy Solutions, Pllc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4730 Loren Dr, Cedar Falls, IA 50613
Phone: 309-507-1768    
Mindfulife, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2302 W 1st St Ste 126, Cedar Falls, IA 50613
Phone: 319-448-3156    Fax: 319-205-1368
Fts Counseling Pllc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 215 Franklin St, Cedar Falls, IA 50613
Phone: 913-912-0334    

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