LINGYU DETRICK (NPI# 1265065478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265065478 |
| Entity Type | Individual |
| Full Name | LINGYU DETRICK |
| Credential | LMHCT |
| Practice Address |
332 S Linn St Ste 40 Iowa City IA 52240-1608 |
| Practice Telephone | 3198495069 |
| Mailing Telephone | 3198495069 |
| Enumeration Date | 2020-02-16 |
| Last Update Date | 2020-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
096006 | IA | Behavioral Health & Social Service Providers |
| Street Address |
332 S LINN ST STE 40 |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52240-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023628906 | Mark Biangmano | Counselor | 332 S Linn St Ste 40, Iowa City, IA 52240-1608 | 2020-08-05 |
| 1922618024 | Akbay Mental Health Counseling Services, Plc | Counselor | 332 S Linn St Ste 40, Iowa City, IA 52240-1608 | 2020-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215408703 | Huan-chung Scott Liu | Psychologist | 332 S Linn St Ste 14, Iowa City, IA 52240 | 2018-12-10 |
| 1124531579 | Amber Marie Wong | Counselor | 47 High Circle Drive, Iowa City, IA 52240 | 2017-11-08 |
| 1356852321 | Spencer Joseph Bohr | Specialist/Technologist | 314 S Governor St, Iowa City, IA 52240 | 2017-10-18 |
| 1992215651 | Kezia Jade Digioia | Student in an Organized Health Care Education/Training Program | 505 East Burlington St, Apt 7b, Iowa City, IA 52240 | 2017-10-09 |
| 1457879694 | Teleigha Teilon Lourell Starks | Specialist/Technologist | 629 South Johnson, 3, Iowa City, IA 52240 | 2017-09-08 |
| 1003213448 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 2415 Heinz Rd Ste 1, Iowa City, IA 52240 | 2014-12-01 |
| 1750701439 | County of Johnson | Public Health or Welfare | 855 S Dubuque, Suite 217, Iowa City, IA 52240 | 2014-04-22 |
| 1083045892 | Julie Louise Gallagher | Dietitian, Registered | 1720 Waterfront Drive, Iowa City, IA 52240 | 2013-12-04 |
| 1619314515 | Jade A Baxley | Physical Therapist | 1130 Scott Blvd., Ste. 1, Iowa City, IA 52240 | 2013-05-31 |
| 1629316062 | Shelter House Community Shelter and Transition Services | Community/Behavioral Health | 429 Southgate Ave, Iowa City, IA 52240 | 2013-01-18 |
| Find all providers in zip 52240 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790104 | Midwest Ketafusion | Counselor | 1700 S 1st Ave Ste 25a, Iowa City, IA 52240-6036 | 2020-11-04 |
| 1588285373 | Jennifer Sanchez | Counselor | 1102 Jensen St, Iowa City, IA 52246-4125 | 2020-05-03 |
| 1104453794 | Jacalyn Mccarville | Counselor | 913 Ball St, Iowa City, IA 52245-1505 | 2020-03-24 |
| 1255965679 | Emma Schutte | Counselor | 332 S Linn St Ste 36, Iowa City, IA 52240-1608 | 2020-02-25 |
| 1265094577 | Carmen Lynn Tillman | Counselor | 6 Oak Park Ln Ne, Iowa City, IA 52240-9180 | 2019-07-08 |
| 1336706514 | Matthew Thomas Johnson | Counselor | 4643 American Legion Rd Se, Iowa City, IA 52240-9057 | 2019-05-23 |
| 1538637772 | Julian and Associates Psychotherapy Services | Counselor | 1342 Oakes Dr, Iowa City, IA 52245-5732 | 2018-11-06 |
| 1124531579 | Amber Marie Wong | Counselor | 47 High Circle Drive, Iowa City, IA 52240 | 2017-11-08 |
| 1770006041 | Britte Garrett | Counselor | 209 E Washington St Ste 202, Iowa City, IA 52240-3928 | 2017-07-19 |
| 1437672979 | Dana Marie Keeton | Counselor | 1700 S 1st Ave Ste 14, Iowa City, IA 52240-6036 | 2017-07-17 |
| Find all providers in IOWA CITY | ||||
Please comment or provide details below to improve the information on LINGYU DETRICK.
| 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.