Individual provider Active NPI

Stacy Lynn Grooms, TLMFT

  • Marriage & Family Therapist
  • Cedar Rapids, IA
National Provider Identifier
1023779097
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
107727 Issued in IA
Practice address
1435 31St St NE Ste a
Cedar Rapids, IA 52402-4056
Phone
(319) 214-5053
NPI assigned
Jan 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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 107727 IA Primary

Addresses

Primary practice location

1435 31St St NE Ste a
Cedar Rapids, IA 52402-4056

Mailing address

1435 31St St NE Ste a
Cedar Rapids, IA 52402-4056
Phone (319) 214-5053

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

LicenseStateTypeSpecialty
107727IAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Alliance Iowa LLC Marriage & Family Therapist Current Accepting new patients
Alli Center LLC Mental Health PastSince Jan 1, 2022 Accepting new patients

Locations

1435 31st St NE
Ste A
Cedar Rapids, IA 52402
Phone (319) 209-4127

Organizations & group practices 2

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": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1023779097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 31ST ST NE STE A",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024056",
            "telephone_number": "319-214-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 31ST ST NE STE A",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024056",
            "telephone_number": "319-214-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROOMS",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "credential": "TLMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "107727",
            "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 Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.