Organization Active NPI

Cedar Valley Center for Expressive Arts Therapy

  • Mental Health Counselor
  • Waterloo, IA
National Provider Identifier
1023888708
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CEDAR VALLEY CENTER FOR EXPRESSIVE ARTS THERAPY
Practice address
905 Sycamore St
Waterloo, IA 50703-4815
Phone
(319) 888-1022
NPI assigned
Jan 4, 2024
Last updated
Jan 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Arianna Carroll, LMHCNPI 1215454368
Title
Owner/Counselor
Phone
(319) 888-1022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

905 Sycamore St
Waterloo, IA 50703-4815

Mailing address

905 Sycamore St
Waterloo, IA 50703-4815
Phone (319) 888-1022

National Provider Directory

National Provider Directory

Locations

905 Sycamore St
Waterloo, IA 50703
Phone (319) 888-1022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1023888708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SYCAMORE ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507034815",
            "telephone_number": "319-888-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SYCAMORE ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507034815",
            "telephone_number": "319-888-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR VALLEY CENTER FOR EXPRESSIVE ARTS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "ARIANNA",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "319-888-1022",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.