Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Audrey Renee Thayer , LMSW

Counselor β€’ Clinton, IA

Active NPI 1275179319 Individual Practitioner Female Practitioner
Practice location in NPPES

1421 S Bluff Blvd
Clinton, IA 527326551

Call 5632430486 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1421 S Bluff Blvd

Clinton, IA 527326551

Telephone 5632430486
Organization at the Same NPPES Address or Phone
New Moon Counseling Pllc Facility NPI 1821956863

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Clinton, IA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Clinton and Iowa

4 active clinicians are listed under Counselor with a practice address in Clinton, IA (355 in Iowa).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-08-24
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Iowa State Medical Licensing Board.
Look Up on State Board Site

Secondary Practice Locations

927 N 2nd St Ste B

Clinton, IA 527323750

Phone: 5632123270

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 24, 2021

Registered at 1421 S BLUFF BLVD, CLINTON, IA 527326551 (Tel: 5632430486)

πŸ“
Updated Business Mailing Address August 24, 2021

Registered at 927 N 2ND ST STE B, CLINTON, IA 527323750 (Tel: 5632123270)

πŸ‘€
Provider Name / Credentials Updated August 24, 2021

Recorded as AUDREY THAYER, LMSW

βœ…
NPI Profile Active November 25, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 25, 2019

Registered at 2701 17TH ST, MOLINE, IL 612656106 (Tel: 3097793071)

πŸ“
Business Mailing Address (Initial Record) November 25, 2019

Registered at 2701 17TH ST, ROCK ISLAND, IL 612015351

πŸ‘€
Provider Name / Credentials (Initial Record) November 25, 2019

Recorded as AUDREY THAYER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2019

Counselor

🟒
Initial NPI Registration & Enumeration November 25, 2019

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1275179319
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 25, 2019
Last Update: August 24, 2021
Sole Proprietor: No

Mailing Address

927 N 2nd St Ste B

Clinton, IA 527323750

Phone: 5632123270

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.