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CHAMPION STATE OF MIND PLLC
NPI 1033578331
Counselor - Mental Health in Estherville, IA

Active since February 15, 2016
508 W CENTRAL AVE, STE B, ESTHERVILLE, IA 51334(800) 592-0180(712) 566-5229 Get Directions Write a Review

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2018, May 9, 2018, Feb 20, 2018 and 2 more (5 updates tracked since 2016).

About Champion State Of Mind Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHAMPION STATE OF MIND PLLC (NPI 1033578331) is a healthcare organization registered as a mental health in Estherville, Iowa and active in the NPI registry since February 2016. The organization lists Amanda Olson, Owner, as its authorized official.

NPPES Registry Identity

NPI1033578331
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCHAMPION STATE OF MIND PLLC
Location Address508 W CENTRAL AVE, STE BEstherville, IA 51334-1834
Mailing AddressPo Box 36Estherville, IA 51334-0036 · (800) 592-0180 · Fax (712) 566-5229
Phone(800) 592-0180
Fax(712) 566-5229
Organization SubpartNo
Authorized OfficialAmanda OlsonOwner · (800) 592-0180
Enumeration DateFebruary 15, 2016
Last NPPES UpdateSeptember 11, 20185 updates tracked since enumeration
✔ NPI 1033578331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IA · 001653
508 W CENTRAL AVE, Estherville, IA 51334
Open in Google Maps ↗

Other Identifiers 1

Medicaid1033578331IA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRICIA REMBOLD
Massage Therapist
508 W CENTRAL AVE
ESTHERVILLE, IA 51334
Emmet County (712) 362-7715
ESTHERVILLE FAMILY CHIROPRACTIC P.C.
Chiropractor
508 W CENTRAL AVE
ESTHERVILLE, IA 51334
Emmet County (712) 362-7715
DR. GREGORY ALAN SANDER D.C.
Chiropractor
508 W CENTRAL AVE
ESTHERVILLE, IA 51334
Emmet County (712) 362-7715
DR. NICOLE MARIE MILLER D.C.
Chiropractor
508 W CENTRAL AVE
ESTHERVILLE, IA 51334
Emmet County (712) 362-7715
SUZAN MARIE LOVERINK LMHC
Counselor (Mental Health)
508 W CENTRAL AVE, STE B
ESTHERVILLE, IA 51334
Emmet County (800) 592-0180

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Champion State Of Mind PLLC's NPI number?

The NPI number for Champion State Of Mind PLLC is 1033578331. It was assigned to this organization in the NPPES registry on February 15, 2016.

Where is Champion State Of Mind PLLC located?

Champion State Of Mind PLLC is located at 508 W Central Ave Ste B, Estherville, IA 51334. The listed phone number is (800) 592-0180.

What is Champion State Of Mind PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Champion State Of Mind PLLC was last updated on September 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.