Revolution Counseling Services Llc - Medicare Mental Health Clinic in Davenport, IA

Revolution Counseling Services Llc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Davenport, Iowa. The current practice location for Revolution Counseling Services Llc is 601 Brady St Ste 204, Davenport, Iowa. For appointments, you can reach them via phone at (309) 781-4053. The mailing address for Revolution Counseling Services Llc is 601 Brady St Ste 204, Davenport, Iowa and phone number is (309) 781-4053.

Revolution Counseling Services Llc is licensed to practice in Iowa (license number 078821). The clinic also participates in the medicare program and its NPI number is 1093201444. 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 (309) 781-4053.

Contact Information

Revolution Counseling Services Llc
601 Brady St Ste 204
Davenport
IA 52803-5251
(309) 781-4053
(309) 792-2440

Mental Health Clinic Profile

Full NameRevolution Counseling Services Llc
SpecialitySocial Worker
Location601 Brady St Ste 204, Davenport, Iowa
Authorized Official Name and PositionKari Lee Stearns-lamb (OWNER/PROVIDER)
Authorized Official Contact3097814053
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Revolution Counseling Services Llc
601 Brady St Ste 204
Davenport
IA 52803-5251

Ph: (309) 781-4053
Revolution Counseling Services Llc
601 Brady St Ste 204
Davenport
IA 52803-5251

Ph: (309) 781-4053

NPI Details:

NPI Number1093201444
Provider Enumeration Date07/09/2018
Last Update Date07/09/2018

Medicare PECOS Information:

Medicare PECOS PAC ID9133466915
Medicare Enrollment IDO20190201000634

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Medical Identifiers

Medical identifiers for Revolution Counseling Services Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093201444NPI-NPPES
1831565290MedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 078821 (Iowa)Primary
1041C0700XSocial Worker - Clinical 149019131 (Illinois)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Revolution Counseling Services Llc acts as a billing entity for following providers:
Provider NameKari L Stearns-lamb
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1831565290
PECOS PAC ID: 4587941737
Enrollment ID: I20170426000860

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