Active NPI
Waxwing Psychological Services, PLLC
- Marriage & Family Therapist
- Cedar Rapids, IA
National Provider Identifier
1063133189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | anthony@waxwingpsych.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Marriage & Family Therapist
- Iowa City, IA
- NPI 1811723182
-
- Marriage & Family Therapist
- Iowa City, IA
- NPI 1376265926
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.