Active NPI
KRP Therapy
- Clinical Social Worker
- Cedar Rapids, IA
National Provider Identifier
1053750778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 06586
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.