Healthcare Provider Details
I. General information
NPI: 1871863175
Provider Name (Legal Business Name): THOMAS H SCHEAR LMHC & LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/04/2012
Last Update Date: 01/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
207 HARRIMAN ST
ALEXANDER IA
50420-8062
US
IV. Provider business mailing address
PO BOX 476
LATIMER IA
50452-0476
US
V. Phone/Fax
- Phone: 641-580-0423
- Fax: 509-461-5656
- Phone: 641-580-0423
- Fax: 509-461-5656
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 98056 |
| License Number State | IA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 320 |
| License Number State | IA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | 168 |
| License Number State | IA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: