MEDICARE: JODI LEAL IADC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	15020	IA
2	101YA0400X	Addiction (Substance Use Disorder) Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255578233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODI LEAL IADC

Provider Business Mailing Address
First Line	:	320 N EISENHOWER AVE
Second Line	:
City	:	MASON CITY
State	:	IA
Zip	:	50401-1521
Country	:	US
Telephone Number	:	641-243-7232
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 N EISENHOWER AVE
Second Line	:
City	:	MASON CITY
State	:	IA
Zip	:	50401-1521
Country	:	US
Telephone Number	:	641-243-7232
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2009
Last Update Date	:	01/24/2022

Similar Medicare Providers

1689711046 — LUXOTTICA OF AMERICA INC
Practice Location Address:

4000 LUXOTTICA PL , ATTN MEDICARE DEPT
MASON, OH
45040-8114

Practice Phone: 513-765-3534
Practice Fax:

1205389764 — LUXOTTICA RETAIL NORTH AMERICA INC
Practice Location Address:

4000 LUXOTTICA PL , ATTN: MEDICARE DEPT
MASON, OH
45040-8114

Practice Phone: 513-765-6000
Practice Fax:

1538603709 — LUXOTTICA RETAIL NORTH AMERICA INC.
Practice Location Address:

4000 LUXOTTICA PL , ATTN: MEDICARE DEPARTMENT
MASON, OH
45040-8114

Practice Phone: 513-765-6623
Practice Fax:

1407788854 — CADENCE BURKE
Practice Location Address:

320 N EISENHOWER AVE
MASON CITY, IA
50401-1521

Practice Phone: 641-243-2391
Practice Fax:

1952443632 — PRAIRIE RIDGE INTEGRATED BEHAVIORAL HEALTHCARE
Practice Location Address:

320 N EISENHOWER AVE
MASON CITY, IA
50401-1521

Practice Phone: 641-424-2391
Practice Fax:

1255671343 — AMY JO SCHUTTE LMSW
Practice Location Address:

320 N EISENHOWER AVE
MASON CITY, IA
50401-1521

Practice Phone: 641-424-2391
Practice Fax: 641-424-0783

Directions to “ JODI LEAL IADC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.