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TRISTATE COUNSELING & CONSULTING
NPI 1790445021
Social Worker - Clinical in Peosta, IA

Active since December 28, 2021
15320 WHITE OAK DR, PEOSTA, IA 52068(319) 330-1082 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tristate Counseling & Consulting NPPES

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

TRISTATE COUNSELING & CONSULTING (NPI 1790445021) is a healthcare organization registered as a clinical in Peosta, Iowa and active in the NPI registry since December 2021. The organization lists Melissa M Anderson, Owner Of Entity, as its authorized official.

NPPES Registry Identity

NPI1790445021
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTRISTATE COUNSELING & CONSULTING
Location Address15320 WHITE OAK DRPeosta, IA 52068-7103
Mailing Address15320 White Oak DrPeosta, IA 52068-7103 · (319) 330-1082
Phone(319) 330-1082
Organization SubpartNo
Authorized OfficialMelissa M AndersonOwner Of Entity · (319) 330-1082
Enumeration DateDecember 28, 2021
NPPES CertifiedDecember 28, 2021
✔ NPI 1790445021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
15320 WHITE OAK DR, Peosta, IA 52068
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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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tristate Counseling & Consulting is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIowaEnrollment IDO20211230002034Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tristate Counseling & Consulting, which bills Medicare for the services this clinician delivers.

Clinician (1)

Melissa Anderson, LMSW
Clinical Social Worker
NPI 1063437069
15320 WHITE OAK DR
Peosta, IA 52068
(319) 330-1082
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tristate Counseling & Consulting's NPI number?

The NPI number for Tristate Counseling & Consulting is 1790445021. It was assigned to this organization in the NPPES registry on December 28, 2021.

Where is Tristate Counseling & Consulting located?

Tristate Counseling & Consulting is located at 15320 White Oak Dr, Peosta, IA 52068. The listed phone number is (319) 330-1082.

What is Tristate Counseling & Consulting's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tristate Counseling & Consulting enrolled in Medicare?

Yes. Tristate Counseling & Consulting is registered in the Medicare PECOS enrollment system.

When is Tristate Counseling & Consulting's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Iowa, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Tristate Counseling & Consulting?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Tristate Counseling & Consulting. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tristate Counseling & Consulting was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.