Active NPI
Stephanie Keiper
- Mental Health Counselor
- Cedar Rapids, IA
National Provider Identifier
1003417650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 100532
- Practice address
- 5270 N Park PL NE Ste 113
Cedar Rapids, IA 52402-6222 - Phone
- (319) 320-7506
- NPI assigned
- Nov 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 100532 | IA | Primary |
Addresses
Primary practice location
5270 N Park PL NE Ste 113
Cedar Rapids, IA 52402-6222
Mailing address
10495 Ellis Rd
Palo, IA 52324-9799
Phone (319) 310-9989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100532 | IA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604275200000",
"number": "1003417650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10495 ELLIS RD",
"city": "PALO",
"state": "IA",
"postal_code": "523249799",
"telephone_number": "319-310-9989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5270 N PARK PL NE STE 113",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524026222",
"telephone_number": "319-320-7506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEIPER",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-02",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "100532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.