WAPSI VALLEY FAMILY COUNSELING, LLC – Clinical Social Worker, NPI 1194124297

WAPSI VALLEY FAMILY COUNSELING, LLC is a healthcare provider. based in Independence, Iowa. specializing in Clinical Social Worker. The organization holds a License No. 04543 (IA). The NPI Number for WAPSI VALLEY FAMILY COUNSELING, LLC is 1194124297

Main info

Organization
Name
WAPSI VALLEY FAMILY COUNSELING, LLC
NPI
1194124297
Phone
(319) 361-4867
Address
2300 SWAN LAKE BLVD STE 102
Authorized Official
JACQUELYN KAY GOEBEL OWNER LISW
Enumeration Date
14 August 2014
Last Update Date
14 April 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for WAPSI VALLEY FAMILY COUNSELING, LLC

  • 2300 SWAN LAKE BLVD STE 102

    INDEPENDENCE, IA 506449708

    Phone: (319) 361-4867

    Fax: (319) 332-1241

    Type: Mailing

  • 2300 SWAN LAKE RD STE 102

    INDEPENDENCE, IA 506449708

    Phone: (319) 361-4867

    Fax: (319) 332-1241

    Type: Location

  • 2300 Swan Lake Blvd Ste 201

    Independence, IA 506449708

    Phone: (319) 361-4867

    Fax: (563) 927-3939

    Type: Location

  • 805 CHARLES ST

    MASONVILLE, IA 506548516

    Phone: (319) 361-4867

    Fax: (563) 927-3939

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-08-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20140827001703OClinic/Group PracticeIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50644)

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Reviews

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Frequently asked questions

Can I verify WAPSI VALLEY FAMILY COUNSELING, LLC with an NPI only?
You can start verification with NPI 1194124297 for WAPSI VALLEY FAMILY COUNSELING, LLC, then check state licensing separately.
Is WAPSI VALLEY FAMILY COUNSELING, LLC still practicing?
WAPSI VALLEY FAMILY COUNSELING, LLC is currently listed as active in the public NPI registry.
What healthcare role does WAPSI VALLEY FAMILY COUNSELING, LLC hold?
Scheduling teams often label WAPSI VALLEY FAMILY COUNSELING, LLC under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for WAPSI VALLEY FAMILY COUNSELING, LLC?
WAPSI VALLEY FAMILY COUNSELING, LLC's geographic hint is Independence, Iowa in our summary view.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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