Individual provider Active NPI

Christine Marie Giorgio-Cahalan, LMFT

  • Marriage & Family Therapist
  • Bettendorf, IA
National Provider Identifier
1003102492
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000346 Issued in IA
Practice address
2435 Kimberly Rd
Suite 145
Bettendorf, IA 52722-3509
Phone
(563) 355-0780
Fax
(563) 355-0656
NPI assigned
Jun 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000346 IA Primary

Addresses

Primary practice location

2435 Kimberly Rd
Suite 145
Bettendorf, IA 52722-3509

Mailing address

2435 Kimberly Rd
Suite 145
Bettendorf, IA 52722-3509
Phone (563) 355-0780

Other identifiers 1

IdentifierTypeStateIssuer
600724149MedicaidIA

Other names 1

  • Christine Marie Giorgio Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 12, 2024 through Nov 12, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000346IAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Compassion Counseling Inc. PastSince Sep 16, 2013 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1003102492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 KIMBERLY RD",
            "address_2": "SUITE 145",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223509",
            "telephone_number": "563-355-0780",
            "fax_number": "563-355-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 KIMBERLY RD",
            "address_2": "SUITE 145",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223509",
            "telephone_number": "563-355-0780",
            "fax_number": "563-355-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIORGIO-CAHALAN",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "000346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600724149",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "GIORGIO",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bettendorf, IA

Sources for this page

Verify at the official NPI Registry.