MEDICARE: NICOLE LEE MCGREEVY

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	120250	IA

General Provider Information

NPI Number	:	1275491649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE LEE MCGREEVY

Provider Business Mailing Address
First Line	:	1105 5TH ST NE
Second Line	:
City	:	INDEPENDENCE
State	:	IA
Zip	:	50644-2131
Country	:	US
Telephone Number	:	563-920-3180
Fax Number	:

Provider Business Practice Location Address
First Line	:	1105 5TH ST NE
Second Line	:
City	:	INDEPENDENCE
State	:	IA
Zip	:	50644-2131
Country	:	US
Telephone Number	:	563-920-3180
Fax Number	:

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

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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Directions to “ NICOLE LEE MCGREEVY ” Practice Location

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