=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790348498
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | IOWA FAMILY COUNSELING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/17/2019
-----------------------------------------------------
Last Update Date | 12/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 409 B AVE
-----------------------------------------------------
City | KALONA
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 52247-7719
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 641-777-2774
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 308
-----------------------------------------------------
City | RIVERSIDE
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 52327-0308
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 641-777-2774
-----------------------------------------------------
Fax | 319-333-6098
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER & DIRECTOR
-----------------------------------------------------
Name | ELISA LYONS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 641-777-2774
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------