Organization Active NPI

Waxwing Psychological Services, PLLC

  • Marriage & Family Therapist
  • Cedar Rapids, IA
National Provider Identifier
1063133189
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
WAXWING PSYCHOLOGICAL SERVICES, PLLC
Practice address
700 16TH St NE Ste 206
Cedar Rapids, IA 52402-4665
Phone
(319) 382-0751
NPI assigned
Sep 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Dr. Anthony J. Mielke, DMFT, LMFT
Title
Owner, Supervisor, Therapist
Phone
(319) 531-6107

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

700 16TH St NE Ste 206
Cedar Rapids, IA 52402-4665

Mailing address

700 16TH St NE Ste 206
Cedar Rapids, IA 52402-4665
Phone (319) 531-6107

Other practice location 1

421 E Market St
Iowa City, IA 52245-2628
Phone (319) 382-0751

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anthony@waxwingpsych.com Direct

National Provider Directory

National Provider Directory

Locations

700 16th St NE
Ste 206
Cedar Rapids, IA 52402
Phone (319) 213-2067

421 E Market St
Iowa City, IA 52245
Phone (319) 209-6972

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1063133189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 16TH ST NE STE 206",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024665",
            "telephone_number": "319-531-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 16TH ST NE STE 206",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024665",
            "telephone_number": "319-382-0751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 E Market St",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522452628",
            "country_code": "US",
            "telephone_number": "319-382-0751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WAXWING PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "MIELKE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER, SUPERVISOR, THERAPIST",
        "authorized_official_telephone_number": "319-531-6107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMFT, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anthony@waxwingpsych.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business email",
            "address_1": "700 16th St NE Ste 206",
            "city": "Cedar Rapids",
            "state": "IA",
            "country_code": "US",
            "postal_code": "524024665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 3, 2026; 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.