NPIMap

Organization Active NPI

Cedar Rapids Keys to Living

Doing business as Keys to Living Counseling Center

  • Community/Behavioral Health Agency
  • Cedar Rapids, IA
National Provider Identifier
1144404591
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CEDAR RAPIDS KEYS TO LIVING
Doing business as
Keys to Living Counseling Center
Practice address
5250 N Park PL NE
Suite 209
Cedar Rapids, IA 52402-6221
Phone
(319) 377-2161
Fax
(319) 377-2094
NPI assigned
Dec 20, 2007
Last updated
Dec 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Mr. Timothy Hunter, MSWNPI 1598856718
Title
Executive Director
Phone
(319) 377-2161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5250 N Park PL NE
Suite 209
Cedar Rapids, IA 52402-6221

Mailing address

5250 N Park PL NE
Suite 209
Cedar Rapids, IA 52402-6221
Phone (319) 377-2161

Other names 1

  • Keys to Living Counseling Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190304002037 IA Part B Supplier - Clinic/Group Practice 0042559312 Receives reassigned benefits from 10 practitioners
Practice locations: Cedar Rapids, IA

National Provider Directory

National Provider Directory

Locations

1642 42nd St NE
Cedar Rapids, IA 52402
Phone (319) 366-2161

5250 N Park Pl NE
Ste 209
Cedar Rapids, IA 52402
Phone (319) 377-2161

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1144404591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 N PARK PL NE",
            "address_2": "SUITE 209",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524026221",
            "telephone_number": "319-377-2161",
            "fax_number": "319-377-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 N PARK PL NE",
            "address_2": "SUITE 209",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524026221",
            "telephone_number": "319-377-2161",
            "fax_number": "319-377-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR RAPIDS KEYS TO LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-377-2161",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keys to Living Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.