Active NPI
New Leaf Counseling, PLLC
- Clinical Social Worker
- Coralville, IA
National Provider Identifier
1114394814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- NEW LEAF COUNSELING, PLLC
- Practice address
- 1303 5TH St Ste 202
Coralville, IA 52241-2939 - Phone
- (319) 321-5707
- Fax
- (866) 468-4419
- NPI assigned
- Aug 28, 2015
- 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
- Mrs. Annika F Ross, L.I.S.W.
- Title
- Business Owner
- Phone
- (319) 321-5707
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1303 5TH St Ste 202
Coralville, IA 52241-2939
Mailing address
1303 5TH St Ste 202
Coralville, IA 52241-2939
Phone (319) 321-5707
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440720000000",
"number": "1114394814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 5TH ST STE 202",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412939",
"telephone_number": "319-321-5707",
"fax_number": "866-468-4419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 5TH ST STE 202",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412939",
"telephone_number": "319-321-5707",
"fax_number": "866-468-4419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW LEAF COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-28",
"last_updated": "2015-08-28",
"status": "A",
"authorized_official_last_name": "ROSS",
"authorized_official_first_name": "ANNIKA",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "BUSINESS OWNER",
"authorized_official_telephone_number": "319-321-5707",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "L.I.S.W."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coralville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.