DR. CHRISTINE ANN SECRIST (NPI# 1881667731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881667731 |
| Entity Type | Individual |
| Full Name | DR. CHRISTINE ANN SECRIST |
| Credential | PHD, LMFT |
| Practice Address |
600 1st Ave Perry IA 50220-1803 |
| Mailing Address |
4713 Panorama Dr Panora IA 50216-8632 |
| Practice Telephone | 5154655739 |
| Practice Fax Number | 5154655744 |
| Mailing Telephone | 5152299587 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 00066 | IA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | MIDLANDS CHOICE | 18699 | 01 |
| Street Address |
600 1ST AVE |
| City | PERRY |
| State | IA |
| Zip Code | 50220-1803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578996328 | Kendra Lynn Hicks | Counselor | 600 1st Ave, Perry, IA 50220-1803 | 2013-08-15 |
| 1346544053 | Lance Jeremy Stumbo | Counselor | 600 1st Ave, Perry, IA 50220-1803 | 2011-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407405897 | Tanna Corrigan | Technician | 2628 Marengo Dr, Perry, IA 50220 | 2019-09-09 |
| 1053963900 | Nicole Dora Mcclavy | Nurse Practitioner | 610 10th St, Perry, Ia 50220, Perry, IA 50220 | 2019-07-11 |
| 1881816882 | Rachel Fazio | Occupational Therapist | 2625 Iowa St, Perry, IA 50220 | 2007-05-02 |
| 1558485151 | Angela Faye Hansen-abbas | Occupational Therapist | 161 315th Street, Perry, IA 50220 | 2007-03-19 |
| 1356405658 | Eye Care Associates PC | Optometrist | 1313 2nd St., Perry, IA 50220 | 2006-12-20 |
| 1962591800 | Nabil Nakhla Faltas | Radiology | 610 10th Street, Dallas Co Hospital, Perry, IA 50220 | 2006-10-11 |
| 1508959172 | Renal Treatment Centers Illinois Inc | Clinic/Center | 610 10th St Ste L100, Perry, IA 50220 | 2006-10-02 |
| 1790702207 | Todd R Miller | Podiatrist | 612 10th St, Perry, IA 50220 | 2006-07-17 |
| 1750349411 | Chad M Kuehl | Physical Therapist | 610 10t St, Perry, IA 50220 | 2006-05-03 |
| 1942672563 | Ronda Hemann | Counselor | 610 10th Street, Perry, IA 50220 | 2015-10-22 |
| Find all providers in zip 50220 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242099 | Lyons Center, LLC | Marriage & Family Therapist | 110 Kellwood Dr Ste 200a, Perry, GA 31069-3263 | 2020-07-17 |
| 1538601133 | Ava Hanson | Marriage & Family Therapist | 2535 S Highway 89 Ste 4, Perry, UT 84302-6728 | 2016-11-14 |
| 1417199977 | Nita Smith Scott | Marriage & Family Therapist | 3296 Sullivan Rd, Perry, FL 32348-8574 | 2009-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839307 | Dean A Dirksen | Marriage & Family Therapist | 523 1/2 Court St., Williamsburg, IA 52361 | 2020-10-20 |
| 1750998043 | Deborah Koons-beauchamp | Marriage & Family Therapist | 229 Johnson Ave Nw, Cedar Rapids, IA 52405-4851 | 2020-09-30 |
| 1497360374 | Alexandra Kruse | Marriage & Family Therapist | 104 2nd Ave Nw, Mount Vernon, IA 52314-1301 | 2020-09-09 |
| 1538774484 | Marshall Mcelhinney | Marriage & Family Therapist | 1120 2nd Ave Se, Cedar Rapids, IA 52403-2406 | 2020-09-08 |
| 1669084463 | Kiley Remington Putnam | Marriage & Family Therapist | 118 3rd Ave Se Ste 311, Cedar Rapids, IA 52401-1408 | 2020-08-21 |
| 1255959391 | Jacob Sandoval | Marriage & Family Therapist | 2016 Cedar Plaza Dr Ste 1, Muscatine, IA 52761-2286 | 2020-07-06 |
| 1619594769 | Kaitlin Hutson | Marriage & Family Therapist | 702 S Gilbert St Ste 109, Iowa City, IA 52240-1738 | 2020-07-05 |
| 1437773553 | Bentley Family Therapy Plc | Marriage & Family Therapist | 5500 Wild Rose Ln, Ste 400, West Des Moines, IA 50266-5351 | 2020-06-04 |
| 1952921355 | Therapy Serendipity LLC | Marriage & Family Therapist | 101 N 19th St, Marshalltown, IA 50158-5315 | 2020-04-26 |
| 1326688516 | Sejal Patel | Marriage & Family Therapist | 819 5th Street, Cedar Rapids, IA 52401 | 2020-01-15 |
| Find all providers with the same taxonomy | ||||
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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.