TODD NOACK
NPI 1366941189
Peer Specialist in De Witt, IA

Active since February 07, 2018
222 12TH ST, DE WITT, IA 52742(563) 726-3244 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 11, 2019, Jun 16, 2018 (2 updates tracked since 2018).

About Todd Noack NPPES

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

TODD NOACK (NPI 1366941189) is an individual peer specialist in De Witt, Iowa, licensed in Iowa (PR16012) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1366941189
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameTODD NOACK
Location Address222 12TH STDe Witt, IA 52742-1116
Mailing Address414 6th StDe Witt, IA 52742-1722 · (563) 726-3244
Sole ProprietorNo
Enumeration DateFebruary 7, 2018
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
NPI 1366941189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in IA · PR16012
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

222 12TH ST, De Witt, IA 52742

Other Identifiers 1

Medicaid82-0730805IA

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366941189, enumerated as an "individual" on February 07, 2018.

The provider is located at 222 12TH ST DE WITT, IA 52742 and the phone number is (563) 726-3244.

Peer Specialist with taxonomy code 175T00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.