Laura Ashley Boddicker, MA, CRC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

083691 Issued in IA

Practice address

1221 Center Point Rd NE
Cedar Rapids, IA 52402-6571

Phone

(319) 378-1199

Fax

(319) 378-7497

NPI assigned

Sep 2, 2016

Last updated

Sep 2, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Psychology Associates, P.C.

  • Mental Health Counselor
  • Cedar Rapids, IA
  • NPI 1740279355
  NPD (past)

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1093262479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 CENTER POINT RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524026571",
            "telephone_number": "319-378-1199",
            "fax_number": "319-378-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 CENTER POINT RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524026571",
            "telephone_number": "319-378-1199",
            "fax_number": "319-378-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODDICKER",
        "first_name": "LAURA",
        "middle_name": "ASHLEY",
        "credential": "MA, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-02",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "083691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY PSYCHOLOGY",
            "identifier": "1740279355",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Boatman, M.D.
• Wendy Boche
• Susan Christine Bock, LMHC
• Kristen J Bockenstedt, ARNP
• James H Boddicker, MD
• Valerie Boddicker, ARNP
• Jessica Boekhoff, MS, TLMHC
• Emily Boes, D.O.
• Mayce Boggess
• Lindsey June Bohr, PHARMD

• Mental Health Counselor in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.