Healthcare Provider Details

I. General information

NPI: 1669894861
Provider Name (Legal Business Name): OKERBERG AND ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2014
Last Update Date: 01/08/2024
Certification Date: 01/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6139 US HIGHWAY 69
AMES IA
50010-9213
US

IV. Provider business mailing address

6139 US HIGHWAY 69
AMES IA
50010-9213
US

V. Phone/Fax

Practice location:
  • Phone: 319-665-2008
  • Fax:
Mailing address:
  • Phone: 319-665-2008
  • Fax: 515-212-7819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE THALKEN
Title or Position: BILLING MANAGER
Credential:
Phone: 319-665-2008