Organization Active NPI

KRP Therapy

  • Clinical Social Worker
  • Cedar Rapids, IA
National Provider Identifier
1053750778
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06586 Issued in IA
Legal business name
KRP THERAPY
Practice address
1206 Staub CT NE
Cedar Rapids, IA 52402-4029
Phone
(319) 573-5467
NPI assigned
Jun 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Ms. Kalleen Ragan-Pepper, LISW
Title
Therapist/Ceo
Phone
(319) 573-5467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 06586 IA Primary

Addresses

Primary practice location

1206 Staub CT NE
Cedar Rapids, IA 52402-4029

Mailing address

1206 Staub CT NE
Cedar Rapids, IA 52402-4029
Phone (319) 573-5467

National Provider Directory

National Provider Directory

Locations

5250 N Park Pl NE
Ste 113
Cedar Rapids, IA 52402
Phone (319) 826-6639

NPI Registry JSON

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

{
    "created_epoch": "1371254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1053750778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 STAUB CT NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024029",
            "telephone_number": "319-573-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 STAUB CT NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024029",
            "telephone_number": "319-573-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRP THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-15",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "RAGAN-PEPPER",
        "authorized_official_first_name": "KALLEEN",
        "authorized_official_title_or_position": "THERAPIST/CEO",
        "authorized_official_telephone_number": "319-573-5467",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06586",
            "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 Oct 4, 2016; 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.