MEDICARE: JAMES O ANASTASI M.S.

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	101YM0800X	Mental Health Counselor	41	IA
2	104100000X	Social Worker	2112	IA
3	106H00000X	Marriage & Family Therapist	7	IA

General Provider Information

NPI Number	:	1770648180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES O ANASTASI M.S.

Provider Business Mailing Address
First Line	:	1520 6TH ST SW
Second Line	:
City	:	MASON CITY
State	:	IA
Zip	:	50401-4820
Country	:	US
Telephone Number	:	641-423-4180
Fax Number	:	641-421-6023

Provider Business Practice Location Address
First Line	:	1520 6TH ST SW
Second Line	:
City	:	MASON CITY
State	:	IA
Zip	:	50401-4820
Country	:	US
Telephone Number	:	641-423-4180
Fax Number	:	641-421-6023

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

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	09/11/2025

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