Organization Active NPI

Red Couch Counseling LLC

  • Community/Behavioral Health Agency
  • Johnston, IA
National Provider Identifier
1073973087
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
00730 Issued in IA
Legal business name
RED COUCH COUNSELING LLC
Practice address
6165 NW 86TH St
Johnston, IA 50131-2270
Phone
(515) 954-9865
NPI assigned
Mar 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Leanna J Brady, LMHC
Title
Owner
Phone
(515) 954-9865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 00730 IA Primary

Addresses

Primary practice location

6165 NW 86TH St
Johnston, IA 50131-2270

Mailing address

6165 NW 86TH St
Johnston, IA 50131-2270
Phone (515) 954-9865

Other identifiers 1

IdentifierTypeStateIssuer
0406239MedicaidIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1073973087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6165 NW 86TH ST",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312270",
            "telephone_number": "515-954-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6165 NW 86TH ST",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312270",
            "telephone_number": "515-954-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED COUCH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "LEANNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-954-9865",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": "00730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0406239",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.