THE LODGE COUNSELING & CONSULITING
NPI 1629359872
Counselor in Sioux City, IA

Active since September 01, 2011
705 DOUGLAS ST, SUITE # 208, SIOUX CITY, IA 51101(712) 259-5134 Get Directions Write a Review

NPPES record last updated: September 1, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Counselor

About THE LODGE COUNSELING & CONSULITING

This page provides the complete NPI Profile along with additional information for The Lodge Counseling & Consuliting, a provider established in Sioux City, Iowa operating as a Counselor. The healthcare provider is registered in the NPI registry with number 1629359872 assigned on September 2011. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The Lodge Counseling & Consuliting operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Vincent Mahon (Co-owner)

NPI
1629359872 Verify this NPI
Provider Name
THE LODGE COUNSELING & CONSULITING
Entity Type
Organization
Location Address
705 DOUGLAS ST SUITE # 208 SIOUX CITY, IA 51101
Location Phone
(712) 259-5134
Mailing Address
705 DOUGLAS ST SUITE # 208 SIOUX CITY, IA 51101
Mailing Phone
(712) 259-5134
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-01-2011
Last Update Date
09-01-2011
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. VINCENT MAHON

Authorized Official Title
CO-OWNER
Authorized Official Phone
(712) 259-5134

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Counselor (Mental Health)
705 DOUGLAS ST, SUITE 350
SIOUX CITY, IA 51101
Counselor
705 DOUGLAS ST, SUITE 350
SIOUX CITY, IA 51101
Social Worker
705 DOUGLAS ST, 524
SIOUX CITY, IA 51101
Social Worker
705 DOUGLAS ST, 524
SIOUX CITY, IA 51101
Social Worker
705 DOUGLAS ST, SUITE 522
SIOUX CITY, IA 51101
Counselor (Mental Health)
705 DOUGLAS ST, SUITE 525
SIOUX CITY, IA 51101
Counselor (Mental Health)
705 DOUGLAS ST, SUITE 350
SIOUX CITY, IA 51101
Community/Behavioral Health
705 DOUGLAS ST, SUITE 652
SIOUX CITY, IA 51101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629359872, enumerated as an "organization" on September 01, 2011.

The provider is located at 705 DOUGLAS ST SUITE # 208 SIOUX CITY, IA 51101 and the phone number is (712) 259-5134.

Counselor with taxonomy code 101Y00000X.