Healthcare Provider Details

I. General information

NPI: 1265016596
Provider Name (Legal Business Name): CASSY LENSING PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2021
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

531 COMMERCIAL ST STE 700
WATERLOO IA
50701-5443
US

IV. Provider business mailing address

531 COMMERCIAL ST STE 700
WATERLOO IA
50701-5443
US

V. Phone/Fax

Practice location:
  • Phone: 319-240-7974
  • Fax: 319-253-3399
Mailing address:
  • Phone: 319-240-7974
  • Fax: 319-253-3399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberG166725
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number145402
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: